Wyoming Medicaid provides health coverage for specific low-income residents, including children, pregnant women, seniors, and individuals with disabilities.
Because Wyoming has not expanded Medicaid, most able-bodied adults without dependents remain ineligible.
For 2025 and 2026, eligibility is strictly categorized. Children and pregnant women qualify with household incomes up to 154% of the Federal Poverty Level (FPL), while parents must meet much lower thresholds (roughly 43%–56% FPL).
Seniors (65+) and disabled individuals are subject to an income limit of $994 per month and an asset limit of $2,000 for 2026.
Essential Quick Facts:
- Expansion Status: Wyoming does not have Medicaid expansion for low-income adults.
- Dental Coverage: Comprehensive for children; emergency only for adults.
- Postpartum Care: Provides 12 months of continuous coverage after pregnancy.
- How to Apply: Submit applications online via the Wyoming Eligibility System (WES) or through the Wyoming Department of Health.
What Is Wyoming Medicaid?
Wyoming Medicaid is a joint federal and state program providing healthcare coverage for certain low-income residents.
Because Wyoming has not adopted Medicaid expansion, eligibility is strictly limited to specific categories: children, pregnant women, very low-income parents, seniors (65+), and individuals with disabilities.
The program covers essential services like doctor visits, hospital stays, and prescriptions.
While it provides comprehensive dental coverage for children, adult dental coverage is limited to emergency services only. The program is administered by the Wyoming Department of Health.
Wyoming Medicaid Income Limits 2026
Income eligibility is primarily based on the Federal Poverty Level (FPL).
For 2026, the baseline FPL for a single person is approximately $15,950 annually (final 2026 figures are released by HHS in early 2026).
Aged, Blind, and Disabled (ABD) & Long-Term Care
These limits apply to individuals aged 65+ or those with a qualifying disability.
| Applicant Type | Monthly Income Limit | Countable Asset Limit |
|---|---|---|
| Single Applicant (ABD) | $994 | $2,000 |
| Married Couple (ABD) | $1,491 | $3,000 |
| Long-Term Care (Nursing Home/HCBS) | ~$2,982 | $2,000 |
- Long-Term Care Note: For nursing home or waiver services, a non-applicant spouse may be allowed to keep a higher “Community Spouse Resource Allowance” (up to $162,660 in 2026).
Wyoming Medicaid Income Limits by Category (2025/2026)
The following values reflect actual Wyoming policy and the most recent 2025/2026 figures.
| Category | % FPL or Level | Household 1 (Monthly) | Household 4 (Monthly) |
|---|---|---|---|
| Adults (19-64) | N/A | Ineligible | Ineligible |
| Children (0-5) | 154% FPL | ~$2,000 | ~$4,125 |
| Children (6-18) | 133% FPL | ~$1,730 | ~$3,560 |
| Pregnant Women | 154% FPL | ~$2,000 | ~$4,125 |
| Parents/Caretakers | ~43% – 56% FPL | ~$529 | ~$999 |
| Aged/Blind/Disabled | SSI Standard | $994 (2026) | N/A |
| Long-Term Care | 300% SSI | $2,982 (2026) | N/A |
Actionable Resources
- Apply Online: Use the Wyoming Eligibility System (WES) to submit an official application.
- Kid Care CHIP: If your income exceeds Medicaid limits, children may qualify for Kid Care CHIP up to 200% FPL ($5,359/mo for a family of 4).
- Health Insurance Marketplace: Since Wyoming has not expanded Medicaid, adults in the “coverage gap” (earning too much for Medicaid but too little for subsidies) may need to check HealthCare.gov for silver plan options if their income reaches at least 100% FPL.
Adults (19–64)
- Correction: Most low-income adults without dependent children do not qualify for Wyoming Medicaid.
- Income Rules: There is no income-based category for able-bodied childless adults.
- Note: Individuals in this group may apply through HealthCare.gov for subsidized private plans.
Children (0–18)
- Eligibility: Children qualify for Medicaid up to 154% FPL (ages 0-5) or 133% FPL (ages 6-18).
- Kid Care CHIP: For families above Medicaid limits, Kid Care CHIP covers children up to 200% FPL ($5,359/mo for a family of 4 in 2025).
- Coverage: Full medical, dental, and vision services.
Pregnant Women
- Eligibility: Pregnant women qualify up to 154% FPL.
- Postpartum: Wyoming now provides 12 months of continuous postpartum coverage.
- Income Rules: The unborn child is counted in the household size for eligibility.
Parents/Caretaker Relatives
- Correction: Parents do not qualify at 138% FPL. Wyoming has some of the lowest limits in the nation for this group.
- Income Rules: Roughly 43% to 56% FPL. For a family of three, the limit is approximately $873 per month.
- Who Qualifies: Parents or legal caregivers of a Medicaid-eligible child under 18.
Seniors (65+)
- Income Rules: In 2026, the limit for a single individual is $994 per month.
- Asset Limit: Countable resources must be $2,000 or less for a single person.
- Coverage: Basic healthcare services, plus help with Medicare premiums via Medicare Savings Programs.
Disabled Individuals
- Income Rules: The 2026 limit for the Aged, Blind, and Disabled (ABD) category is $994 per month.
- Asset Limit: $2,000 for an individual; $3,000 for a couple.
- Employed Disabled: Wyoming’s “Work Incentives” program allows disabled workers to earn more (up to 300% SSI) and still maintain coverage.
Long-Term Care / Nursing Home Medicaid
- Eligibility: Applicants requiring a nursing home level of care.
- Income Rules: Set at 300% of the SSI Federal Benefit Rate, which is $2,982 per month for 2026.
- Asset Limit: $2,000 for the applicant.
- Look-Back: Wyoming uses a 60-month look-back period to ensure assets were not given away to meet eligibility.
Who Is Eligible for Wyoming Medicaid in 2025?
- Income below the limit for your category
- Wyoming residency
- U.S. citizenship or qualified immigration status
- Age, pregnancy, or disability requirements
- Household size matching application
- Proof of pregnancy if applying in that category
Required Documents
- Proof of income (pay stubs, tax returns)
- Social Security Number
- Proof of Wyoming residency (utility bill, lease)
- ID (driver’s license, birth certificate)
- Medical records (for disability claims)
- Pregnancy verification (if pregnant)
How to Apply for Wyoming Medicaid
- Apply online at the Wyoming Benefits Management System.
- Call 1-855-294-2127 for phone assistance.
- Mail your completed application to a local office.
- Apply in person at a Department of Family Services office.
- Processing time: 45 days (90 days for disability applications).
What Wyoming Medicaid Covers in 2025
- Doctor visits
- Dental care
- Vision services
- Prescriptions
- Mental health services
- Prenatal and pregnancy care
- Children’s preventive care
- Hospital services
- Long-term care
Common Reasons for Denials
- Income too high
- Missing documents
- Incorrect information
- Not meeting residency or citizenship requirements
Wyoming Medicaid FAQs (2025–2026)
What are the Wyoming Medicaid income limits for 2025?
- Adults (Childless): Generally ineligible regardless of income.
- Parents/Caretakers: Must have extremely low income—roughly $529–$873 monthly depending on family size (approx. 43-56% FPL).
- Children: Qualify at higher levels, up to 154% FPL (ages 0-5) or 133% FPL (ages 6-18).
- Pregnant Women: Qualify up to 154% FPL.
What is the income limit for a family of 3 in Wyoming in 2025?
Parents: A parent in a family of 3 only qualifies if household income is ~$873 monthly or less.
Children: A child in that same family can qualify with household income up to ~$3,418 monthly (154% FPL).
Result: It is very common for children to be covered while parents are denied coverage.Does Wyoming Medicaid cover dental in 2025?
- Children: Yes, full comprehensive dental coverage.
- Adults: No comprehensive coverage. Services are limited to emergency procedures (e.g., extractions for pain or infection).
How do I qualify for Wyoming Medicaid in 2025?
Categories: Low-income children, pregnant women, disabled individuals, seniors (65+), or parents with very low income.
Key Exclusion: Most able-bodied adults (ages 19-64) without dependent children do not qualify, even with zero income.Does Wyoming have Medicaid expansion in 2025?
Impact: There is a “coverage gap” for adults who earn too much for standard Medicaid (over ~$529–$873/mo) but too little to get subsidies on the Marketplace (under 100% FPL).
What are the pregnancy Medicaid income limits in Wyoming for 2025?
Limit: Up to 154% FPL, roughly $2,000 monthly for a single pregnant woman (note: counting the unborn child increases the household size).
Postpartum: Coverage now extends for 12 months after the birth.How long does it take to get approved for Wyoming Medicaid?
Standard: Applications are generally processed within 45 days.
Disability: Applications requiring a disability determination (via the State Level Review) can take up to 90 days.Does Wyoming Medicaid cover mental health services?
Services: Includes therapy, counseling, and psychiatric care.
Caveat: Since many adults are ineligible for Medicaid, they cannot access these benefits unless they qualify as disabled or very low-income parents.Can non-citizens qualify for Wyoming Medicaid?
- Green Card Holders: Lawful Permanent Residents may qualify, typically after a 5-year waiting period.
- Refugees/Asylees: May qualify immediately without the waiting period.
- Undocumented: Generally only eligible for Emergency Medicaid to cover life-threatening acute care (including labor and delivery).
Does Wyoming Medicaid cover long-term care?
- Income Limit (2026): The applicant’s income must be under $2,982 monthly.
- Asset Limit: $2,000 for a single applicant.
- Services: Covers nursing homes and Home and Community-Based Services (HCBS) waivers for those meeting the “nursing facility level of care”.
Conclusion
Wyoming Medicaid offers vital health coverage for those who qualify. Many adults without children do not meet the rules. Always check the latest income limits before you apply. These numbers change every year in January.
You can apply online or by phone. Use the Wyoming Eligibility System to start your form. You can also call 1-855-294-2127 for help. Stay healthy by using your benefits for check-ups. Look for more details at the Wyoming Department of Health.
