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Wyoming home care license requirements

Bottom line: No non-medical license confirmed — HHA license applies to health services; Medicaid HCBS certification.

WATCH Watch item: Medicaid HCBS EVV minimum standard effective July 1, 2026.

License required?
No non-medical license confirmed
License / pathway
HHA license applies to health services; Medicaid HCBS certification
Fees (initial / renewal)
HHA $150; non-medical Not confirmed in official sources — check with the state agency

From the 50-state summary. Fees shown as stated in the state entry; see each entry for conditions, conflicts, and sources.

Wyoming requirements, item by item

Bracketed numbers link to the official sources at the bottom of this page.

Not confirmed in official sources — check with the state agency We could not confirm this item on an official state source during our review, so we did not estimate it.

Wyoming licensing items from the reference guide
ItemWhat the guide found
License required?Not confirmed in official sources — check with the state agency — the sources reviewed do not establish whether a non-medical-only companion, homemaker, or personal-care agency must obtain a state license. The stated license requirement applies to health care facilities, including a home health agency as defined in the cited facts. [1][2][3]
License type / nameNo general non-medical agency license type is established by the sources reviewed. For Community Choices Waiver (CCW) services, the documented pathway is Wyoming Medicaid provider enrollment and CCW provider certification; this is not identified as a general home-care agency license. The Home Health Agency license category covers agencies arranging and directly providing nursing or other health care services. [4][5][1]
Licensing agencyHealthcare Licensing and Surveys (HLS), Wyoming Department of Health, handles the cited health-care-facility licensing materials. For the CCW pathway, the Wyoming Department of Health HCBS Credentialing Team is the listed contact. [1][4]
Agency websiteHLS forms and policies: https://health.wyo.gov/aging/hls/forms-and-policies/ CCW certification information: https://health.wyo.gov/healthcarefin/hcbs/becomeaprovider/ccw-cert/. [3][4]
Initial application / license feeThe HHA initial (new provider) or change-of-ownership application fee is $150; the sources reviewed do not establish that this fee applies to a non-medical-only agency or the CCW pathway. A fee for the CCW pathway is not stated. [6][4]
Renewal feeNot confirmed in official sources — check with the state agency
Renewal cycleFor the CCW/HCBS pathway, Wyoming Medicaid providers re-enroll and sign a new Provider Agreement every 5 years; the sources reviewed do not state the CCW certification renewal cycle. Separately, the HHA licensing period is July to June with annual renewal. [7][2]
Typical approval timelineFor Medicaid enrollment, the Department or its agent reviews a complete application with necessary qualification documents within 30 calendar days. WHP portal access approval may take up to 48 hours; this is not the stated CCW certification processing time. [8][4]
Administrator qualificationsNot confirmed in official sources — check with the state agency
Caregiver background checksFor CCW Personal Support and Homemaker services, screening is required for employees, contractors, and volunteers who may have unsupervised direct contact, upon initial employment and every 5 years. Wyoming Home Services grant policies separately require completed background checks for employees working directly with clients; these are pathway-specific facts, not a general non-medical agency rule. [5][9]
Caregiver training hoursThe CCW manual requires sufficient orientation, training, and oversight but specifies no number of hours. For Wyoming Home Services grant-funded providers, homemakers must complete at least 8 hours of specified training before assignment, and all staff must complete general orientation in the first week and before direct client contact. [5][9]
Registry checksUnder the Wyoming Home Services grant policies, a clear DFS Central Registry screen is required before an employee works unsupervised and costs the provider organization $10 per screening. The sources reviewed do not establish this as a general requirement for all non-medical agencies. [9]
General liability insuranceWyoming Home Services grant policies require care coordinators, homemakers, CNAs, and nurses to be covered by liability insurance. The sources reviewed do not establish a general liability-insurance requirement for all non-medical agencies. [9]
Workers' compensationNot confirmed in official sources — check with the state agency
Bonding (surety / dishonesty)The HHA application states a fidelity bond minimum of $2,500; the sources reviewed do not establish that this applies to non-medical-only agencies. Wyoming Home Services grant policies separately require covered staff to be bonded, without stating an amount. [6][9]
Rule changes 2025–2026An Electronic Visit Verification (EVV) minimum standard is identified as effective July 1, 2026. The sources reviewed do not provide further details about the standard. [7]

Track these items in the checklist

Sources

  1. Facility Types Facility Licensing
    https://health.wyo.gov/aging/hls/facility-types/
  2. 2025-RENEWAL-INSTRUCTIONS.doc
    https://health.wyo.gov/wp-content/uploads/2025/03/2025-RENEWAL-INSTRUCTIONS.doc
  3. [PDF] INITIAL OR CHANGE IN OWNERSHIP LICENSE APPLICATION ...
    https://health.wyo.gov/wp-content/uploads/2021/07/INSTRUCTIONS-07-2021-Initial-CHOW.pdf
  4. CCW Initial Certification - Wyoming Department of Health
    https://health.wyo.gov/healthcarefin/hcbs/becomeaprovider/ccw-cert/
  5. CCW Provider Manual - Wyoming Department of Health (July 2026)
    https://health.wyo.gov/wp-content/uploads/2026/07/CCW-Provider-Manual-Effective-July-2026.pdf
    The facts above were taken from the April 2024 edition; the current edition is July 2026.
  6. [DOC] Licensure & Certification Application - Wyoming Department of Health
    https://health.wyo.gov/wp-content/uploads/2021/07/07-2021-HHA-Initial-CHOW.doc
  7. Current Providers - Wyoming Department of Health
    https://health.wyo.gov/healthcarefin/hcbs/current-providers/
  8. [PDF] WYDOH-Medicaid-Chapter-3.pdf - Wyoming Department of Health
    https://health.wyo.gov/wp-content/uploads/2024/04/WYDOH-Medicaid-Chapter-3.pdf
  9. Manual Subject to Updates
    https://health.wyo.gov/wp-content/uploads/2026/03/WyHS-Policies-Procedures-Updated-03202026.pdf

Limits: fees and forms change often. Agencies sometimes post conflicting figures (a statute vs. an older form); those conflicts are shown, not resolved by guessing. Confirm the current fee with the agency before filing. This guide is a research reference, not legal advice.

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