State of Wyoming EqualityCare Programs

APS Healthcare provides four distinct services to the Wyoming Department of Health EqualityCare (Medicaid) Program:

1) Utilization Management (UM) services for select medical and behavioral health admissions and procedures.

The goal of Utilization Management is to help EqualityCare clients:

• Meet their healthcare needs.
• Reduce inappropriate use of services.

For the complete UM Provider Manual click here; for a menu of UM review forms, please click here.

2) Total Population Health Management services (the Healthy Together! program) for all EqualityCare clients.

The goal of the Healthy Together! program is to help EqualityCare clients:

• Understand their doctor’s and other healthcare provider’s instructions.
• Become educated and empowered about health and wellness issues.
• Know how, when and where to ask for medical help.

3) Pay for Participation Program allows EqualityCare providers additional reimbursement if they complete specific screenings, provide health education for EqualityCare patients with chronic illnesses, and refer them into the Healthy Together! Health Management program.

• Click here for more information.

4) Wyoming PASRR-Level II Evaluation to assist the Wyoming Department of Health to screen nursing facility applicants and residents for serious mental illness and/or mental retardation to accurately assess whether an individual needs specialized services and nursing facility level of care.

• Click here for more information from the ACS Wyoming Medicaid website or to register for Web Portal Access, if you are an Enrolled Provider.

If you need clarification regarding PASRR Level II Process, call 1-866-880-4080 ext. 8930, between 8-5 ET, Monday through Friday.

• Click here for more information from the Wyoming Department of Health website.
• Click here for PASRR Level II Informed Consent Form.
• Click here for Responsibilities and Protocols.
• Click here for Interfacility Transfer Policy.
• Click here for information on the PASRR Level II Appeals process.
• Click here to view the Wyoming PASRR Training

Wyoming PASRR Level II packets are routed to Dr. Sandra Jensen, APS Healthcare, by faxing to 1-866-858-8476.

Healthy Together! is offered by the Wyoming Department of Health to all Wyoming EqualityCare clients at no cost. The program provides one-on-one support from a nurse, educational materials to encourage the self-management of health and assistance in coordinating care among multiple providers. Healthy Together! also provides EqualityCare clients with information on weight loss, smoking cessation, and how to adopt healthy lifestyles. Healthy Together! was named the Best Government Disease Management Program by the Disease Management Association of America in 2005.