Pharmacy Help Desk: 1-877-209-1264, Provider PA Help Desk: 1-877-207-1126

Provider Enrollment

To fill out the online Wyoming Medicaid pharmacy enrollment application, click on the link below to be taken to the Change Healthcare Pharmacy Portal.

Pharmacy Portal

If you have questions, please call Change Healthcare at 877-205-8083 or email Change Healthcare at PBA_wyprovider@changehealthcare.com.

* DME Pharmacy Providers must submit a separate enrollment packet to Xerox, the Wyoming Medicaid DME Fiscal Agent. You can contact Xerox at (800) 251-1268.

* If your pharmacy employs pharmacists who are certified immunizers, those individuals must enroll with Wyoming Medicaid since they are considered the “prescribing provider” on immunization claims. Enrollment is necessary in order to avoid denial of immunization claims in the future. If the “prescribing provider” on the claim is not enrolled with Wyoming Medicaid, the claim will deny for payment. The process of enrolling pharmacists is being handled by Xerox who can be contacted at (800) 251-1268 (options 2, 1, 2 to speak to an agent). Web enrollment may be completed at the following website:
http://wymedicaid.acs-inc.com/wy/general/providerEnrollmentHome.do