The Medicaid Income Limit is the most important criteria for deciding whether you qualify for Medicaid in your state. In this post, we are going to explain in detail the Wyoming Medicaid Income Limits for 2021.
Based on this information, you will be able to determine whether your income qualifies you for Wyoming Medicaid or not.
However, before we get into details about the income limit, we will first explain the Medicaid program in Wyoming and how it works.
Next, we will discuss who is eligible for Medicaid, including how eligibility works for various categories, including Children, Pregnant Women, and Adults.
What is Medicaid?
Medicaid is a federal and state health insurance program for people with a low income.
It provides free or low-cost health coverage to millions of Americans, including families and children, pregnant women, the elderly, and people with disabilities.
The Children’s Health Insurance Program (CHIP) offers health coverage to children in families with incomes too high to qualify for Medicaid, but who can’t afford private coverage.
How Many People are on Medicaid?
According to the Centers for Medicare & Medicaid Services, as of November 2020, here are the number of people enrolled in Medicaid and Chip in the entire United States:
- 78,521,263 individuals were enrolled in Medicaid and CHIP
- 72,204,587 individuals were enrolled in Medicaid
- 6,695,834 individuals were enrolled in CHIP
Wyoming Medicaid
The Wyoming Medicaid program provides medical coverage to low-income individuals and families.
As of 2020, the program, along with the Children’s Health Insurance Program (CHIP) covered 62,607 people.
This includes 41,204 children as shown by the image below.
In Wyoming, the Medicaid program is administered by the Wyoming Department of Health.
Who Can Get Medicaid in Wyoming?
You should apply for Medicaid if your income is low and you match one of the descriptions below:
- You think you are pregnant
- The parent or caretaker of a child and/or teenager under the age of 19.
- You are a child or teenager age 18 or under.
- An adult age 65 or older.
- You are legally blind.
- Living with a disability or disabled.
- You are in need of nursing home care.
Wyoming Medicaid Income Limit
The Wyoming Medicaid Income Limit is calculated as a percentage of the Federal Poverty Line.
To qualify, you must meet the Wyoming Medicaid Income limits listed below.
Here is the Federal Poverty Level (FPL) for 2021.
| 2021 Federal Poverty Levels for the 48 Contiguous States & D.C. | |||
| Household Size | Poverty Guideline for 48 states & DC | Alaska | Hawaii |
| 1 | $12,880 | $16,090 | $14,820 |
| 2 | $17,420 | $21,770 | $20,040 |
| 3 | $21,960 | $27,450 | $25,260 |
| 4 | $26,500 | $33,130 | $30,480 |
| 5 | $31,040 | $38,810 | $35,700 |
| 6 | $35,580 | $44,490 | $40,920 |
| 7 | $40,120 | $50,170 | $46,140 |
| 8 | $44,660 | $55,850 | $51,360 |
| Over 8 people | add $4,540 for each additional person | $5,680 | $5,220 |
Additionally, to be eligible for Medicaid, you cannot make more than the income guidelines outlined below:
- Children up to age 1 with family income up to 154 percent of FPL
- Any child age 1-5 with a family income up to 154 percent of FPL
- Children ages 6- 18 with family income up to 133 percent of FPL
- CHIP for children with family income up to 200 percent of FPL
- Pregnant women with family income up to 154 percent of FPL
- Parents of minor children with family income up to 51 percent of FPL
- Individuals who are elderly, blind, and disabled with family income up to 74% of the FPL
Wyoming Medicaid Income Limit Charts
The Wyoming Medicaid eligibility income limit charts are divided by groups.
For example, the first chart is focused on income limits for children who qualify for Medicaid.
Similarly, the second chart below focuses on the Medicaid income limits for adults in Wyoming who qualify for Medicaid.
Wyoming Medicaid Income Limit for Children
Below is the income limit for children by age category. Find the age category your child falls into and you will see the income limit by household size.
| Wyoming Medicaid Income Limit – Children | ||||||
| Children Medicaid Ages 0-1 | Children Medicaid Ages 1-5 | Children Medicaid Ages 6-18 | Children Separate CHIP | |||
| % FPL | 100% | 154% | 154% | 133% | 200% | |
|
Household Size
|
1 | $12,880 | $19,835 | $19,835 | $17,130 | $25,760 |
| 2 | $17,420 | $26,827 | $26,827 | $23,169 | $34,840 | |
| 3 | $21,960 | $33,818 | $33,818 | $29,207 | $43,920 | |
| 4 | $26,500 | $40,810 | $40,810 | $35,245 | $53,000 | |
| 5 | $31,040 | $47,802 | $47,802 | $41,283 | $62,080 | |
| 6 | $35,580 | $54,793 | $54,793 | $47,321 | $71,160 | |
| 7 | $40,120 | $61,785 | $61,785 | $53,360 | $80,240 | |
| 8 | $44,660 | $68,776 | $68,776 | $59,398 | $89,320 | |
Next is the income limit for adults by category. Find the category you fall into and you will see the income limit by household size.
Wyoming has not expanded Medicaid to include adults without dependents.
Therefore, adults without dependents do not qualify for Medicaid in Wyoming.
For an update on the Medicaid expansion debate and timeline in Wyoming, see our Wyoming Medicaid Expansion update below.
Wyoming Medicaid Income Limit for Adults
| Wyoming Medicaid Income Limit – Adults | ||||||
| Pregnant Women Medicaid | Adults (Medicaid) Parent/ Caretaker | Seniors & People w/ Disabilities (Medicaid) | Adults (Medicaid) Expansion to Adults | |||
| % FPL | 100% | 154% | 51% | 74% | NO | |
|
Household Size
|
1 | $12,880 | $19,835 | $6,569 | $9,531 | N/A |
| 2 | $17,420 | $26,827 | $8,884 | $12,891 | N/A | |
| 3 | $21,960 | $33,818 | $11,200 | $16,250 | N/A | |
| 4 | $26,500 | $40,810 | $13,515 | $19,610 | N/A | |
| 5 | $31,040 | $47,802 | $15,830 | $22,970 | N/A | |
| 6 | $35,580 | $54,793 | $18,146 | $26,329 | N/A | |
| 7 | $40,120 | $61,785 | $20,461 | $29,689 | N/A | |
| 8 | $44,660 | $68,776 | $22,777 | $33,048 | N/A | |
How to Read the Wyoming Medicaid Income Limits Charts Above
You cannot have an income higher than the Federal Poverty Level percentage described for your group to be eligible for Medicaid.
Similarly, when you identify the income group that applies to you, the income limit you see refers to the maximum level of income you can earn to qualify for benefits.
For example, if you are pregnant, to qualify for Medicaid, you cannot have an income higher than 154% of the Federal Poverty Level – which for a family of two is $26,827 as shown in the chart above.
How to Apply for Wyoming Medicaid
There are 3 ways you can apply for Medicaid in Wyoming.
Option 1 – Apply online
You can apply online through the WY Medicaid/CHIP Web Portal Portal – as shown in the image below.
If you have an account, you can log in or create your WY Medicaid/CHIP Web Portal Account. Click here to be taken to the website.
Option 2 – By Phone
The easiest way to apply for Medicaid in Wyoming is by phone.
Call 1-855-294-2127 to apply over the phone and for help.
Option 3 – Download Application
You can download an application, complete it, and mail it to your county DFS office or submit it in person.
Returning a paper application:
You may return a completed paper application by visiting in-person or mailing it to:
Wyoming Department of Health
Customer Service Center
3001 E. Pershing Blvd.
Suite 125
Cheyenne, WY 82001
Fax applications to:
1-855-329-5205
Email applications to:
wesapplications@wyo.gov
Please note that it can take up to 45 days to process applications.
Wyoming Medicaid Phone Number
Here’s how to contact the Wyoming Medicaid Agency:
For General Questions About Medicaid, call Wyoming Medicaid Customer Service at:
To apply for Medicaid/Kid Care CHIP or for Medicaid/Kid Care CHIP application status, please call 1-855-294-2127, or 1-855-329-5204 TTY/TDD.
Wyoming Medicaid Expansion Update
Wyoming has not accepted Medicaid expansion under the Affordable Care Act (ACA).
As a result, it is estimated that 27,000 additional people would be covered under Medicaid if the state expands Medicaid under the ACA.
A state Senate committee advanced a Medicaid expansion bill in March 2021.
The state Senate overwhelmingly passed a work requirement bill in 2018 for the existing Medicaid population, but the House committee killed it.
Wyoming enacted legislation in 2018 that allows the state to seek recovery of Medicaid-funded birth costs from fathers who aren’t part of the mother’s tax household.
Wyoming Medicaid Income Limits Summary
We hope this post on Wyoming Medicaid Income Limits was helpful to you.
If you have any questions about Medicaid in the state of Wyoming, you can ask us in the comments section below.
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Be sure to check out our other articles about Medicaid.
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