TABLE OF CONTENTS
The Genworth 2021 Cost of Care Survey shows that the cost of in-home care in Wyoming averages $5,529 per month. This type of care can help seniors with daily activities such as grooming, meal preparation and mobility. Home health care also provides services to those living at home but offers medical help, such as skilled nursing or physical therapy. Despite the additional health services provided, home health care in Wyoming also averages $5,529 monthly.
Wyoming’s home care costs are higher than the U.S. mean. Nationally, in-home care costs an average of $4,957, and home health care averages $5,148. When compared to its neighbors, Wyoming is in the middle of the range. Colorado and South Dakota are less affordable, with costs of $6,387 and $5,911, respectively, for both types of care. At $5,434, Idaho’s costs are slightly lower than Wyoming’s, and seniors in Montana pay $5,339. Nebraska’s home health care costs are also $5,339, and seniors there pay even less for in-home care, with a monthly average of just $5,148.
|Home Care||Home Health Care|
Seniors in Wyoming may wish to explore other senior care options to make the best choice for their needs and budget. Adult day health care is the most affordable at $1,733. Assisted living in the state is also cheaper than in-home care and home health care, with an average price of $4,169 per month. Nursing home care is the least affordable choice at $6,996 monthly, which reflects the around-the-clock skilled nursing provides.
Medicaid in Wyoming pays for limited home care directly. The state also has a waiver program that has a wider range of benefits. The Medicaid program is known as Home Care Services, and it provides nursing or therapy services to people under a physician’s plan of care. The waiver program focuses on in-home care and includes personal care, meals and transportation. Both programs are only available for people who require the specified level of care.
Community Choices Home and Community-Based Services Waiver
The Community Choices Home and Community-Based Services Waiver is generally known as CCW. It may also be referred to as the Assisted Living Facility and Long Term Care Waiver. As CCW isn’t an entitlement, there may be a waiting list to receive benefits.
The waiver is available to people aged 65 and over or those aged 19-64 who are blind or disabled. Applicants must meet financial and residency eligibility criteria and require a nursing home level of care.
The waiver is intended to delay or prevent people from entering skilled nursing facilities by providing services in the home, the home of a loved one or an assisted living facility. Seniors can access personal care, meal delivery, transport and skilled nursing through the waiver. Other resources available include respite care, fiscal management services and emergency response systems.
CCW has a participant-directed option that allows beneficiaries to be the direct employer of their caregivers. Participants who wish to take advantage of this option are responsible for hiring, training and firing caregivers. People in the participant-directed option can also hire certain family members to provide care. This includes adult children but not a spouse or legal guardian.
To apply for CCW, seniors should contact a local Benefits and Eligibility Specialist. Application forms are also available online. After receiving your application, a public health nurse will contact you to arrange a medical assessment to determine the level of care you need.
Medicaid eligibility is based on a number of factors, including your financial situation. Applicants must meet both income and asset limits that may differ based on the program.
For regular Medicaid in Wyoming, single applicants must have an income of less than $841 per month and assets of less than $3,000. Those in a two-person household can have an income of up to $1,261 per month and assets of up to $3,000. Personal belongings, burial funds, an automobile and certain other assets aren’t included when calculating Medicaid eligibility. If you live in your home, it’s also exempt as long as the equity interest is below the state limit.
|Income Limits*||Asset Limits|
Seniors must also be:
Wyoming seniors can apply for Medicaid online at the web portal or by calling the Customer Service Center at (855) 294-2127. You can also obtain a paper application from the Department of Health website and return it via fax or mail.
What Information You Will Need
To process the application, the Department of Health asks for verification of:
How to Get Help Applying for Medicaid
Medicaid applications can be difficult to navigate. Wyoming has a number of resources available to help you determine if you’re eligible for the program and make applying for Medicaid easier.
|Contact||Area Served||Services Provided|
|Customer Service Center||(855) 294-2127||Entire state||The Department of Health’s Customer Service Center has staff available to answer questions about your eligibility and application. The team can help you apply and follow up on applications.|
|Wyoming Medicaid Handbook||Online||Entire state||Available in English and Spanish, the Wyoming Medicaid Handbook is a guide to Medicaid eligibility and benefits. It has extensive information on how to apply and what happens after an application is submitted. It can also answer many common questions about the application process.|
|Wyoming State Health Insurance Information Program||1-800-856-4398||Entire state||WSHIIP has trained counselors available to help seniors understand their health insurance options, including Medicaid, Medicare and long-term care insurance. Representatives are located throughout the state to provide free, confidential guidance.|
Medicare doesn’t pay for non-medical home care, but it can cover the cost of the medical version of home care, called “Home Healthcare” in some situations. In order to be eligible, you need to be homebound and have a referral from your doctor for the specific type of medical care that is needed. There are also other restrictions that apply.
Below is an overview of some of the services typically covered by Medicare for those who are eligible:
As mentioned above, home care is distinctly different from home healthcare, but there is some overlap – so while Medicare doesn’t cover non-medical home care, there are personal care services that may be covered in special circumstances – such as an occupational therapist helping with eating or dressing.
Read our guide to Medicare and Home Care Coverage for more information.
While the above programs can be a great way to make home care affordable for many people, they are not the right solution for everyone. Thankfully, there are other ways to make home care more affordable for you and your family. For more information about your other options, read our section on Other Ways to Pay for this guide.
Older adults who wish to remain living at home as they age can access a range of resources in Wyoming. Government and nonprofit organizations can help seniors access meals, financial assistance, home repairs and other services that can help seniors age in place.
|Contact||Area Served||Services Provided|
|Wyoming Home Services Program||(800) 442-2766||Entire State||WyHS is a non-Medicaid program that provides support to seniors living in their homes or the home of a caregiver. Services available include chore services, personal care, respite care and care coordination. Clients are charged on a sliding-fee scale.|
|Aging Division||(800) 442-2766||Entire State||The Aging Division acts as the Area Agency on Aging in Wyoming. Its Community Living section provides a range of supportive services to seniors, including congregate and home-delivered meals, health education and transportation.|
|Emergency Rental Assistance Program||(307) 777-7988||Entire State||ERAP provides financial assistance to low-income households for unpaid rent, internet and utility bills. Seniors who qualify for ERAP can also access Home Stability Services, which can help pay for home modifications and repairs, information technology hardware and in-home care.|
|Low Income Energy Assistance Program||(800) 246-4221||Entire state||LIEAP helps pay for heating bills during winter months. Households that have people aged 60 and over are among the priority groups for funding assistance. LIEAP also has a weatherization program that can help seniors improve the energy efficiency of their homes.|
|Legal Aid of Wyoming||(877) 432-9955||Entire state||Legal Aid of Wyoming provides free civil legal services to low-income residents. Seniors can get assistance with a range of issues including housing, Medicaid and end of life planning.|
Unless they qualify for an exemption, all home care and home health care providers who are certified with Medicaid or Medicare are subject to the COVID-19 vaccine mandate rule. This means that Wyoming providers must be fully vaccinated against SARS-CoV-2 to prevent the spread of COVID-19.
These rules are current as of April 2022 but are subject to change. If you’re concerned about having a caregiver enter your home, check with your local Area Agency on Aging for the most up-to-date regulations. Your home care agency may have more stringent rules regarding vaccines or PPE use. Speaking to an agency representative can help you understand the policies and procedures your caregiver works under.
Home health agencies in Wyoming are licensed and overseen by Healthcare Licensing and Surveys, a division of the Department of Health. All agencies must comply with state regulations that are designed to ensure the health and safety of their clients.
|What Types of Care Can Be Provided?||Home health agencies in Wyoming may provide health care services, personal care and homemaker services. All care must be provided by an appropriately trained and licensed professional.|
|Are Care Plans Required?||Written care plans must be designed in consultation with the client, and these plans must be periodically updated as the client’s condition changes. Instructions based on these plans must be provided to home health aides at least every 60 days. Homemaker instructions should be reviewed at least every 90 days. Clients must be informed of the names and responsibilities of each caregiver. They must also be informed in advance of any changes in care, the costs involved and how payment will be handled.|
|Can Home Care Providers Assist With Medication Management?||Wyoming’s home health agency regulations don’t address medication management.|
|Are There Special Requirements for Screening Home Care Aides?||All staff must undergo a Central Registry of Abuse & Neglect screening. Agencies must also document that employees are free of communicable diseases that may put clients at risk.|
|Are Home Care Aides Required to Undergo Special Training?||In Wyoming, home health aides provide personal care. They must be certified nursing assistants. In addition, CNAs must complete training to ensure they’re competent in a home setting.
People providing homemaker services must complete at least 8 hours of training through the home health agency, covering topics that include practical skills, communication, emergency procedures and client rights.
Both home health aides and homemakers must be supervised regularly by an RN or LPN.
|Does Medicaid Cover Home Care in Wyoming?||The Community Choices Waiver program will pay for some or all of the cost of home care for eligible seniors. Regular Medicaid may also cover certain services.|
|How Do I Report Abuse of Myself or a Loved One?||Abuse should be reported to the office of the long-term care ombudsman at (307) 777-2885.|
Whether you are looking for yourself or a loved one, finding a quality home care provider can be a stressful process. To help you overcome this challenge, we’ve created a helpful checklist below that can help guide you through the process of both determining your needs, and finding a home care agency that will be the best fit for you and your family.