MEDICAID

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 Medicaid, called EquilityCare in Wyoming, is a program that provides health coverage to some low-income Wyoming residents. Medicaid covers families with children and pregnant women, the elderly, and people with disabilities, if state and federal guidelines are met. Legal residents who are not U.S. citizens may be eligible for Medicaid emergency services however, questions concerning immigration status and eligibility should be directed to the Wyoming Department of Family Services.

  • For certain categories of people, eligibility for Medicaid is based on the amount of their household income.

In Wyoming you may be eligible for Medicaid if you are an individual, a child, a parent of a child, or pregnant, and your family income meets the Medicaid income standards.

Income eligibility levels for these categories are described below.  Your assets and some expenses also may be taken into account, so you should contact the Wyoming Department of Family Services for more information. 

Low income persons eligible for Medicaid (EqualityCare) in Wyoming*

Category                     Income eligibility (as percent of federal poverty level)
Infant                          133% (monthly income of about $1,840 for family of 3)
Child 1-5                      133%
Child 6-18                    100%
Working Parent              59%
Non-Working Parent       43%
Pregnant woman          133%
* Eligibility information was compiled from State Health Facts Online, the Kaiser Family Foundation, and may have changed since this guide was published.  Contact your state Medicaid program for the most up to date information and for other eligibility requirements that may apply.

To get an idea of how your income compares to the federal poverty level, use the federal poverty guideline issued by the U.S. Department of Health and Human Services for the year 2006:

Size of Family Unit                       Poverty Guideline (annual income)
               1                                             $  9,800
               2                                             $13,200
               3                                             $16,600

-For larger families add $3,400 for each additional person
-So, for example, using this guideline, 133% of the federal poverty level for a family of 3 would be an annual income of $22,078, or a monthly income of $1,840.
-Contact your state Medicaid program for the most up to date information and for other eligibility requirements that may apply.

  • Parents who receive benefits under TANF (also known in Wyoming as the POWER program) should also know that when you get a job and your TANF benefits end, you generally can stay on Medicaid for a 12-month transitional period.

In addition, your children may qualify for Medicaid if your family’s income meets certain income standards.

  • Poor elderly or disabled people who get Supplemental Security Income (SSI) benefits are automatically eligible for Medicaid.

Disabled individuals should know that if your income earned from a job increases so that you no longer qualify for SSI, you may be able to continue your Medicaid coverage at least for a limited time.

  • Retired or disabled people who have low incomes and are enrolled in Medicare may also qualify for help from Medicaid. Even though your income may be too high to qualify for Medicaid insurance coverage, there may be other ways Medicaid can help you.

If your household income is below the poverty level, Medicaid will pay your Medicare monthly premium and your Medicare deductibles and coinsurance.  This is called the Qualified Medicare Beneficiary (QMB) program. 

If your household income is above 100% but below 120% of the poverty level, Medicaid will pay for your monthly Medicare premiums only.  This is called the Specified Low-Income Medicare Beneficiary (SLMB) program.

Contact the Wyoming Department of Family Services for more information about other eligibility requirements.

  • There may be other ways that Medicaid can help. To find out if you or other members of your family qualify for Medicaid, contact the Wyoming Department of Family Services (WDFS) at (800)-251-1269 or locate a local office of the WDFS by visiting them on the web at http://dfsweb.state.wy.us/districts/base2.htm. In addition, you can learn more about Medicaid by contacting the Wyoming Department of Health at (307)-777-7656 or visiting them on the web at http://wdh.state.wy.us/medicaid/index.asp


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