Review cadence
- Source date
- 2026-07-16
- Claim review
- 2026-07-16 · 26/26
- Proven sweep
- 2026-07-15
- Target
- T3 · monthly
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Wyoming has 5 community health centers across 19 sites serving 34,666 patients — the #50 FQHC state by patients in the national-breadth layer. As a non-expansion state, the uninsured are the biggest exposure, and the ACA premium-credit expiry is the dominant federal risk.
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We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
17,947 reported patients
Actual values: 11/12 · source-backed: 8/12
Visible gaps: EHR, reported financials, NPPES operator identity, history.
Hash-pinned review: 2026-07-19 · next 2026-11-16
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-16 · addition
New tracked WY development added to the state intelligence feed.
2026-07-16 · addition
New tracked WY development added to the state intelligence feed.
2026-07-16 · addition
New tracked WY development added to the state intelligence feed.
2026-07-16 · addition
New tracked WY development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this WY record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
Send a correction or new source to improve this state page.
Wyoming's current health-policy record has four separately sourced parts. The Wyoming Department of Health received $205,004,742.95 for Rural Health Transformation Budget Period 1 and opened applications July 1; its live portal says applications close at midnight August 2, awards are expected to be obligated by October 30, 2026, and approved costs generally must be spent by September 30, 2027. The integrated-primary-care competition prioritizes Wyoming FQHCs and Tribally operated 638 clinics, while the 36.4% figure in state law is a target only for funds available to time-limited initiatives—not 36.4% of the entire federal award. CMS's final files record 41,545 Wyoming Marketplace plan selections for 2026, 5,098 fewer than 2025, but that difference is not a confirmed uninsured count. HRSA's 2024 UDS baseline is five reporting Health Center Program awardees serving 34,666 patients, including 6,434 uninsured patients and 7,005 Medicaid/CHIP patients. Each figure keeps its own scope and source.
Patient-weighted across the 5 centers with UDS 2024 data.
Wyoming law authorizes a licensed advanced practice registered nurse to prescribe, administer, dispense, or provide medications other than Schedule I drugs and assigns APRNs responsibility for direct patient care and management. The Nurse Practice Act also permits one or more licensed nurses to establish an independent nursing practice within the scope of their licenses. Those statutory authorities support independent APRN practice; they do not by themselves establish how any particular health center staffs a site or which services a payer will reimburse.
Expiry of the enhanced ACA premium tax credits (end of 2025) is the dominant federal risk in this non-expansion state — it widens the coverage gap and raises uninsured/self-pay volume at FQHCs; Medicaid community-engagement (work) requirements (CMS-2454-IFC, full implementation Jan 1, 2027) compound the redetermination burden.
Role implications
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Wyoming ranks #50 by FQHC patients, with 5 organizations and 19 sites tied to uninsured exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
20.2% Medicaid/CHIP, 18.6% uninsured, and 7.9 points below the non-expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
6 public ATS snapshot rows across 2 sources; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
Wyoming combines 34,666 FQHC patients with full practice NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
WYPCA, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
Wyoming has 5 FQHC employers in the directory and 6 public ATS snapshot rows across 2 sources to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
6 live FQHC job postings in Wyoming on the national board right now.1 include employer-posted pay.2 verified employer sources; newest review 2026-07-20.
The observation remains unknown until a reproducible source sweep or manual review is completed. No published match does not mean zero layoffs.
The row count describes the official artifact, not a count of FQHC layoffs.
Wyoming's $205M year-one RHTP window is the state's defining fiscal event — 36.4% of time-limited funds are earmarked for FQHC-anchored integrated primary care.
Primary source · as of 2026-07-14
26 primary-sourced findings on Wyoming FQHC policy and financing.Newest item: 2026-07-16
Community Health Center of Central Wyoming's current first-party behavioral-health page says the organization has served more than 700 patients through its IMPACT Collaborative Care Model in Natrona and Fremont counties. The model describes coordination among a primary-care provider, psychiatric consultant and care-management team for depression treatment; the page also lists evaluation, case management, therapeutic intervention, prescription management and free depression screening.
Its provider directory names 10 behavioral-health professionals: nine associated with Casper, including one PMHNP also linked to telehealth-only service in Riverton, Lander and Dubois, and one PCSW linked to Lander and Riverton. This is a standing self-reported program and workforce baseline retrieved July 16, 2026, not a dated expansion.
The source does not define the 700-plus measurement period, whether the count represents unique or currently active patients, or site-level distribution; its access and improvement language does not establish measured depression, suicide-prevention or well-being outcomes. Ten listed professionals are not proof of 10 FTEs, net additions, simultaneous availability or complete staffing, and integration with other service lines does not prove that every service is available at every site or encounter.
The page gives no visit count, appointment capacity, wait time, workforce start dates, retention, funding amounts, per-patient cost or comparative outcomes.
HealthWorks' current first-party page says its in-house Cheyenne pharmacy serves community members who are not HealthWorks patients and is a dispensing and donation site for the Wyoming Medication Donation Program. It posts Monday-Friday hours of 8 a.m.-5 p.m., names two PharmD pharmacists, says most prescriptions are available in 15 minutes, and offers requested curbside pickup or mail delivery for a fee.
The page also points patients to discounted medications, vaccinations, 340B eligibility review, prescription-assistance programs and medication-therapy-management appointments; income-eligible sliding-fee patients may qualify for free or discounted prescriptions. This is a standing operating baseline retrieved July 16, 2026, not a dated opening or expansion.
The 15-minute statement is not a guaranteed or independently measured wait time; two named pharmacists are not a complete headcount, schedule or FTE total; and references to 340B, sliding fees or a possible year of medication through assistance programs do not establish eligibility, inventory or savings for every patient or drug.
The page does not report prescriptions dispensed during 2026, nonpatient share, donation volume, program enrollment, mail fees, staffing capacity, stock availability, realized savings or outcomes.
The current first-party page for directory-listed Community Action of Laramie County, Inc. identifies Crossroads Healthcare Clinic in Cheyenne and posts clinic/social-services hours of 7:30 a.m.–5 p.m. Monday, Tuesday and Thursday, 7:30 a.m.–7 p.m. Wednesday, and 7:30–11:30 a.m. Friday, with a noon–1 p.m. weekday closure. Those windows equal 40 posted hours per week after the stated lunch closure.
The page lists eight care categories—primary, preventive, diagnostic, wellness, behavioral health, prescription assistance, health education and chronic-disease management—and names a nurse practitioner, registered nurse and medical assistant; its behavioral-health-clinician field says TBD. This is a standing operating and workforce baseline retrieved July 16, 2026, not a dated expansion.
Posted hours are not provider hours, FTEs, appointment capacity or proof that every service is available throughout each window; the three names are not a complete headcount, and TBD is not proof of an approved vacancy or hiring plan. The page does not report appointments, visits, wait times, panel size, utilization, retention or outcomes.
Observed July 15, WYPCA's directory lists 18 Wyoming clinic locations across eight named provider networks or programs: Ag Worker Health & Services, Health Care for the Homeless, Crossroads Healthcare Clinic, Educational Health Centers of Wyoming, Community Health Centers of Central Wyoming, One Health, HealthWorks, and Health West.
The directory says community health centers serve people regardless of insurance status or ability to pay. These directory groupings should not be equated with HRSA's separate count of five 2024 reporting Health Center Program awardees.
HRSA's 2024 Wyoming Table 9D reports $9,587,935 in Medicaid collections for five reporting Health Center Program awardees, equal to 35.15% of patient-related collections. The 14.80% value in the same table is Medicare's share of patient-related collections, not a Medicaid revenue decline.
HRSA separately reports 34,666 total patients, 7,005 Medicaid/CHIP patients, and 6,434 uninsured patients for the 2024 reporting period.
The current 42 U.S.C. § 254b-2 schedule appropriates $4.6 billion to the Community Health Center Fund for fiscal year 2026 and $1,159,452,055 for October 1 through December 31, 2026, with no later funding period listed. The same section says appropriated amounts remain available until expended.
This is a national statutory funding horizon; it does not establish a Wyoming-specific cut, closure, staffing action, or service loss.
The current Wyoming RHT application portal describes a competitive integrated-primary-care opportunity intended to expand the number, geographic reach, or population reach of FQHCs and Tribally operated 638 clinics. It prioritizes those entities and permits costs for converting or expanding clinical and nonclinical space and practices to integrate primary care with behavioral health, obstetric and gynecologic, dental, and preventive services.
The portal does not publish a guaranteed award for any named organization.
Observed July 15, Wyoming's live application portal says applications close at midnight on August 2, 2026. It expects awards to be fully obligated by October 30, 2026 and approved costs and activities to be fully expended by September 30, 2027 unless CMS or the Department of Health allows otherwise.
The portal anticipates one-year agreements with options to renew or amend; that language does not promise renewal or a later-year award.
The Wyoming Department of Health opened Rural Health Transformation applications on July 1, 2026. Its announcement identifies four broad funding categories—rural basic and emergency care, workforce development and training, care-delivery technology, and healthy-lifestyle initiatives—and discloses a $205,004,742.95 Budget Period 1 federal award funded entirely by CMS/HHS.
The announcement does not assign the full award to FQHCs or guarantee later-year amounts.
CMS's June 1 interim final rule with comment period generally starts January 1, 2027 unless a state chooses an earlier date. It applies to specified nonpregnant adults ages 19–64 enrolled in the Medicaid adult group or certain section 1115 demonstrations that provide minimum essential coverage, and includes statutory exemptions.
Because Wyoming has not adopted the ACA adult expansion group, the rule is not evidence that every Wyoming Medicaid beneficiary—or Wyoming's SF 6—faces an 80-hour requirement.
A May 19 release from Governor Mark Gordon's office says CMS granted final approval to Wyoming's $205 million Year 1 Rural Health Transformation application after the state submitted an updated proposal in early May. The release gives Wyoming until October 31 to obligate first-year funding and one year to spend it.
It also states that future-year funding under the five-year program will depend on the approved plan and prior-year performance, so the Year 1 amount cannot be multiplied into a guaranteed five-year total.
The University of Wyoming reported May 13 that Albany Community Health Clinic received NCQA patient-centered medical-home recognition. The university says all three UW-operated Educational Health Center of Wyoming clinics now hold that recognition: Albany Community Health Clinic in Laramie, Wyoming Family Practice in Casper, and UW Family Medicine in Cheyenne.
UW links the designation to primary-care processes, education, interprofessional practice, and continuous quality improvement; it does not claim that the designation guarantees an RHT award.
CMS's final 2026 state-level file classifies 31,529 of Wyoming's 41,545 QHP selections as rural. It records 14,824 bronze, 9,230 silver, and 17,491 gold selections, with the remaining suppressed or other metal-level values handled under CMS's file rules.
These are observed selection counts, not projected uninsured totals, and the distribution does not establish where people later obtained care.
In CMS's final state-level 2026 Open Enrollment file, the average monthly premium across Wyoming plan selections was $1,217 and the average after advance premium tax credits was $235. Those averages span the selected plans and enrolled population and are not a carrier rate-change percentage.
The file therefore does not support the prior 25.9% statewide increase claim or a prediction that a specific number of people became uninsured.
CMS's final 2026 state-level file records 41,545 Wyoming QHP selections and 36,186 selectors receiving advance premium tax credits. For APTC recipients, the average advance credit was $1,127 per month and the average premium after that credit was $88.
The file measures selections and financial assistance during Open Enrollment; it does not prove that every selection became effectuated coverage or that a person without a selection used an FQHC.
CMS's final state-level Open Enrollment public-use files report 41,545 Wyoming Qualified Health Plan selections for 2026 and 46,643 for 2025, a decrease of 5,098 selections, or 10.9%. The measure counts plan selections during each year's enrollment window; it is not a count of effectuated coverage, people who became uninsured, or patients who later used a health center.
Those downstream outcomes require separate evidence.
HB 122 became Chapter 61 on March 6, 2026. The enacted program requires detailed expenditure and performance reporting; grants, awards, or expenditures above $500,000 require advisory-committee approval and legislative notice.
Certain recipients must sign performance and accountability agreements, and the Department of Health may recover funds for noncompliance, misuse, unauthorized spending, or failure to implement required reforms. The enacted law—not a possible special session—is the operative state governance framework.
Governor Gordon signed HB 122 on March 6, 2026, making it Chapter 61. The enacted text sets a 36.4% target for amounts available to time-limited initiatives for competitive integrated-primary-care grants that expand FQHC reach through conversion of existing facilities and practices.
The denominator is the time-limited-initiative pool, not the entire federal award, and the law permits material deviation from percentage targets upon a written advisory-committee recommendation to meet documented need and demand.
HB 4, “Birthing centers—Medicaid coverage,” was signed February 27 as Chapter 1 and took effect July 1, 2026. The act authorizes Medicaid payment for services rendered by birthing centers.
It does not enact the separate maternal-services rate proposal in HB 64, which failed introduction, or carry that proposal's $2 million appropriation—$1 million from the General Fund and $1 million from federal funds—for July 1, 2026 through June 30, 2028.
Governor Gordon signed SF 6 on February 27, 2026. The law codifies citizenship or lawful-presence, identity, residency, and program-category criteria; bars eligibility expansion beyond the January 1, 2026 baseline without legislative authorization, with a temporary public-health-emergency exception; and applies to applications or renewals on or after July 1, 2027.
The enacted text contains no 80-hours-per-month state work requirement.
Wyoming's original Rural Health Transformation Notice of Award covers Budget Period 1 from December 29, 2025 through October 30, 2026 and lists $205,004,742.95. The recipient-specific terms temporarily restricted drawdown while Wyoming supplied a revised, itemized budget; they rejected unsupported lump sums, assumed necessity, and unresolved “TBD” items.
This notice documents an initial control point, not final approval of the state's original perpetuity-fund design.
HealthWorks announced its move to 506 W. 17th Street in Cheyenne, describing the new clinic as three times the size of its prior facility and able to support medical, dental, behavioral-health, and pharmacy services and provider recruitment. The organization reports that it served 2,814 patients in 2024, including 580 uninsured patients, and filled 22,753 prescriptions.
The release does not identify the construction financing sources or tie the move to later Marketplace or RHT changes.
Directory-listed Community Health Center of Central Wyoming, Inc. (CHCCW) announced December 11, 2025 that its Sliding Fee Discount Program would change effective January 1, 2026. For Slides A–D, the posted 2026 provider-visit fees are $10, $20, $30 and $40, while listed ancillary categories—labs, X-rays, vaccines, procedures, injections and supplies/DME—carry $5, $10, $15 and $20 flat rates; patients above 200% of the federal poverty guideline face standard charges.
Existing slide holders do not need to reapply until their current slide expires, and the page says their new fees start automatically January 1. This is a realized 2026 price-access schedule, not evidence that charges decreased: the source does not publish prior fees, define each slide’s income band on this page, say every service is available at every site, or report applicants, approvals, collections, visits, savings, utilization or outcomes.
Its 7–10-business-day online-application instruction is an administrative processing estimate, not an appointment wait time or approval guarantee.
Wyoming submitted its original Rural Health Transformation application on November 5, 2025. That document proposed an investment-based perpetuity structure and described tentative initiatives and timelines.
CMS later restricted the initial award pending a revised budget, and the Governor's May 2026 release says Wyoming submitted an updated proposal before final approval. The November application is useful proposal history but cannot be cited as proof that CMS approved its original allocations.
A July 2025 REMI report commissioned by five Wyoming organizations modeled federal Medicaid-cut and state-expansion scenarios. For the cut scenario, it projected roughly $140 million less cumulative state GDP over 2026–2030, an average 192 fewer jobs per year, and $14.6 million less disposable personal income annually.
The model was completed while federal legislation was still changing; it is a scenario analysis, not observed economic loss or a finding that 12,000 specific people lost coverage.
Revision 25 of Wyoming Medicaid's Pharmacy Covered Services and Limitations manual states: contract pharmacies may not “carve in” Wyoming Medicaid clients to 340B. The sentence establishes a contract-pharmacy billing boundary; it does not describe every direct-dispensing arrangement, patient discount, or duplicate-discount control.
Covered entities and pharmacies therefore need to apply the rule to the exact dispensing and payer pathway rather than extend it beyond the manual's text.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Community Health Center of Central Wyoming, Inc. Casper | 17,947 | 4 | 13.85% | $19M | Stable | WY-00 |
| University of Wyoming Laramie | 13,025 | 3 | 21.67% | — | Strong | WY-00 |
| Cheyenne Health and Wellness Center Cheyenne | 2,817 | 6 | 20.59% | — | Stable | WY-00 |
| Community Action of Laramie County, Inc. Cheyenne | 466 | 2 | 57.3% | $3M | Watch | WY-00 |
| Friends of the Community Action Partnership of Natrona County Casper | 411 | 4 | 68.13% | — | Exposed | WY-00 |
1 hospital/university/county-operated: 1 university.
| District | Representative | Sites |
|---|---|---|
| WY-00 | Harriet M. Hageman | 29 |
Wyoming ranks #50 by FQHC patients and #47 by organization count among the 57 national-breadth jurisdictions. All 5 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are Wyoming-only. Updated 2026-06-30.