Wyoming Medicaid transportation fee schedule: commercial carriers, shuttles, and member travel

Five lines carry Wyoming’s commercial transportation pay

Wyoming Medicaid has no NEMT broker, so the state’s own fee schedule sets what an enrolled ride company earns. Two provider types bill rides: taxis, and non-taxi ride providers (shuttles and other transportation services). Lodging providers bill a third line. These are the standard Medicaid plan amounts on the downloadable fee schedule run on October 1, 2026.

The Department of Health’s fee schedule index lists Administrative Transportation, the name Wyoming uses for this program, with a last review or revision date of July 1, 2026. That review left the amounts where they were. The fee schedules page says the downloadable file is updated in the first and third weeks of every month, so download it again before you quote a rate.

Working out a claim

No ride can be billed without the state’s approval number. The ride starts with a travel request to the Customer Service Center, and the provider then pulls the number from the Provider Portal and puts it on the claim. Section 36-6 of the Wyoming Medicaid rules adds two conditions: the Department must approve the ride at least three working days ahead, and it chooses the cheapest suitable way to travel. Under the July 2026 manual, a non-taxi ride provider can start the travel request itself, by phone or with the travel request form. Taxi rides still start with the member.

Partial miles always round up, and a mile counts only while the member is riding. The July 2026 provider manual gives the two patterns, and here they are priced at current rates:

1. Taxi, 5.2 miles. One unit of A0100 and six units of S0215: $5.02 + $4.98 = $10.00.
2. Non-taxi ride, 23.2 miles. One unit of A0110 and nine units of A0080 (23.2 minus 15 is 8.2, rounded to 9): $9.75 + $2.25 = $12.00.

The two structures reward different trips. A taxi earns 83 cents on every mile, but the member travel guide lists taxi rides only for appointments in the same town or county. A non-taxi ride earns nothing extra for its first 15 miles, so a 60-mile shuttle ride pays $9.75 plus 45 miles at 25 cents, or $21.00. The guide says non-taxi appointment locations vary by provider.

Medicaid pays nothing for waiting, for a no-show, or for a member who is too late to ride. The manual asks providers to report no-shows to Provider Services instead.

What the state plan says about the rates

Wyoming moved commercial carrier and lodging pay onto a fee schedule with State Plan Amendment WY-16-001. The state submitted it February 16, 2016, and CMS approved it May 5, 2016, effective July 1, 2016. Its payment page said public carriers and lodging were paid the lesser of charges or the fee schedule amount. It also set private vehicle pay through an annual cost and benefit analysis that checked whether the rate covered fuel for a vehicle getting 15 miles to the gallon.

That page has since been replaced. WY-26-0002, submitted March 31, 2026 and approved June 22, 2026, effective January 1, 2026, replaced it with a short item 24a titled reimbursement for use of a private vehicle. The new text says that pay is based on the established fee schedule, set as of January 1, 2026, and published on the Department of Health’s fee schedules page. The same amendment added a single introduction page to Attachment 4.19 that lists Travel Reimbursement among the services with a January 1, 2026 rate date.

A third amendment, WY-24-0003, approved August 5, 2024 and effective April 1, 2024, rewrote the page describing how Wyoming provides transportation. It lists the modes as including non-emergency air travel and ground ambulance, stretcher vans, wheelchair vans, common user bus, volunteer drivers, taxicabs, and ride-share company drivers. Ambulances, wheelchair vans, taxicabs, and other modes must be licensed by the appropriate state or local agency, and volunteer drivers need a driver’s license and auto insurance.

Codes the standard plan does not pay

The fee schedule marks these transportation codes as not allowed for the standard Medicaid plan:

• Wheelchair and stretcher vans. A0130, S0209, T2005, and T2049.
• Wait time. T2007.
• Other vehicles and passes. A0120 (mini-bus) and T2004 (commercial carrier multi-pass).
• Meals and escort costs. Meals for the member (A0190) and the escort’s lodging and meals (A0200 and A0210).
• Other lines. A0090 outside two waivers, A0140 (air travel), A0160, A0170 (parking and tolls), and T2002 (per diem).

T2001, the attendant or escort code, is priced by report rather than at a set amount. The member travel guide says the state buys airline and long-distance bus tickets itself.

The gap matters for wheelchair work. The 2024 state plan page names wheelchair vans and stretcher vans as covered modes, yet the schedule has no standard-plan rate for either. Before taking a booking for someone who rides in a wheelchair or on a stretcher, ask Provider Services how that ride will be approved and paid. A non-emergency ambulance is a separate service, billed by ambulance providers at $153.29 for basic life support (A0428) plus $5.49 a mile (A0425), and section 36-6 of the Medicaid rules points ambulance coverage to Chapter 15.

Who can bill which line

Wyoming Medicaid ties each transportation provider type to its own enrollment documents, listed in its taxonomy and licensure table. A company carrying passengers for pay may also need WYDOT intrastate operating authority, which the Wyoming state guide walks through.

The van taxonomy is not open to an independent van company, because it requires ownership by a hospital or FQHC. An independent company enrolls as a taxi or as a transportation service and bills the matching codes.

Member travel pays the member

Several Wyoming travel benefits go to the member or family, or are bought by the state, rather than paid to a ride company. The July 2026 member travel guide sets them:

• Private car mileage. 26 cents a mile, measured as the shortest town-to-town distance on Google Maps, paid per trip rather than per member when several members ride together.
• Bus and airline tickets. The state arranges and buys long-distance bus and airline tickets.
• Local public transit. The state can purchase a transit punch card, which the member collects and may use only to reach medical and dental appointments.
• Overnight help for a child’s care. Available when the trip is more than 200 miles round trip, or 150 miles or more with appointments on consecutive days.

The overnight amounts depend on where the family stays, from $50.00 a night at a hotel for an outpatient child and one parent down to $5.00 at an enrolled lodging house while the child is an inpatient:

Members on the Title 25 benefit plan have their own lines on the fee schedule: A0110 at $10.00 and A0080 at 26 cents a mile, both since May 1, 2019.

Waiver rides run on separate schedules

Two sets of Wyoming waivers cover rides to community activities, and those rates sit in each waiver’s service index, not in the Medicaid travel program. Both indexes say the waiver service is offered in addition to medical transportation and does not replace it.

• Community Choices Waiver (July 1, 2026). Non-medical transportation bills A0130 at $7.59 per 15-minute unit, capped at 18 units (4.5 hours) a month, and T2003 for public transit multi-passes up to $80.00 a month. A contract motor carrier can bill it when the business is registered and current with the Wyoming Secretary of State and holds WYDOT intrastate operating authority. Eligible transit agencies, senior centers, and participant-directed employees can bill it too.
• Comprehensive and Supports Waivers (July 22, 2026). Transportation pays per trip: $14.77 for a 5-mile trip (A0090) and $18.25 for a 10-mile trip (T2001) at the agency rate. A trip can be rounded up to 5 miles if at least 2 miles are traveled, or to 10 miles if at least 7 are traveled, and the service is capped at $2,000 a year.

These waivers are the only places A0130 and A0090 carry a price on the Wyoming fee schedule. The waiver transportation entry explains how waiver rides differ from Medicaid NEMT.

Filing and the records Wyoming checks

Claims go on the CMS-1500, and a clean claim is due no later than 365 days after the ride. Span billing is not allowed, so rides on different dates each need a separate line. Any ride can be pulled for post-payment review, and the member travel guide says Medicaid checks taxi and shuttle claims to confirm the member actually went to the appointment that day.

For each ride, the manual wants on file the prior authorization with its number, the member’s details, when the pickup happened, where the ride started and ended, the miles, and the amount charged. NEMT billing codes explains each national code on this page.

Building the Wyoming ride record in HealthRide

A Wyoming claim is only as good as the ride record behind it when post-payment review arrives. HealthRide’s driver app logs pickup and drop-off times for every rider, the miles tracked by GPS, and a signature taken on screen. The whole trip log can be exported to CSV or PDF, ready for a reviewer who asks for the rides behind a set of claims.