Wyoming runs real Medicaid programs that pay family members to care for a loved one at home. Here is what they pay, who can be paid, and how to start.
20% of the state
each with its own page
that can pay a relative
see the full rule below
Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program
Rates vary — check with the program.
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Wyoming Medicaid program data · Updated September 2026
Some programs here have no waitlist. Others can have one.
yes — not an entitlement; slots are limited and a waitlist forms when they are full
Sometimes — it depends on the program and the care needed.
The fine print: limited — the Community Choices Waiver renewal effective 7/1/2026 allows a paid spouse only if they hold no authority over the participant's finances and the care goes beyond normal spousal duties; guardians and the employer of record cannot be paid
Not for young children right now — but parents of adult children can often be paid.
The fine print: no — CCW serves only people 65+ or adults 19-64 with an SSA-verified disability; minors are not in this waiver
Run by: Wyoming Department of Health, Division of Healthcare Financing, Home and Community-Based Services (HCBS) Section
A program that can pay a family member for care at home.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
Submit the CCW Program Application (CCW Form 01, which requires choosing a county case management agency) to the WDH HCBS Section in Cheyenne; non-Medicaid members also file a Wyoming Medicaid LTC application (1-855-203-2936); an LT-101 nurse assessment determines level of care.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In Wyoming, they are overseen by the Wyoming Department of Health. We help you enroll — applying costs you nothing.
Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.
Sometimes — it depends on the program and the care needed. The fine print: limited — the Community Choices Waiver renewal effective 7/1/2026 allows a paid spouse only if they hold no authority over the participant's finances and the care goes beyond normal spousal duties; guardians and the employer of record cannot be paid
Not for young children right now — but parents of adult children can often be paid. The fine print: no — CCW serves only people 65+ or adults 19-64 with an SSA-verified disability; minors are not in this waiver
Wyoming doesn't publish one flat rate — rates vary and the program sets your exact pay. We'll tell you your real number before you enroll.
Some programs here have no waitlist. Others can have one. Details: yes — not an entitlement; slots are limited and a waitlist forms when they are full
It depends on the program. In Wyoming: no home-care agency for self-directed care, but an FMS is required — ACES$ Financial Management Services serves the CCW; a case management agency must also be selected at application
Sources: health.wyo.gov · medicaidplanningassistance.org · mycil.org · Updated September 2026. Program rules change — always confirm with the program.
Guides
Start with the Wyoming caregiver program, then read how the pieces fit together.
Across the line
Each state writes its own rules, and they differ more than people expect — a spouse who can be paid on one side of the line often cannot be on the other.
Answer 5 easy questions. See your programs and pay before you share any contact info.