Relevant Contact Points in Wyoming

Wyoming's state survey and licensing agency for nursing care, assisted living, adult day care, home health and hospice facilities; it investigates quality-of-care and quality-of-life complaints but not billing or insurance complaints. Accepts complaints by phone, fax or mail, including anonymous complaints; investigates immediate-jeopardy complaints within 2 working days.

The office's staff directory, listing its administrator and branch chiefs.

The state-designated program, operated statewide by Wyoming Senior Citizens, Inc. for the Department of Health's Senior/Aging Division, that advocates for long-term care residents' quality of care, quality of life, independence, dignity, rights and freedom of choice. Three regional ombudsmen cover all Wyoming counties; Ember Lucas is given as an example.

Investigates and prosecutes Medicaid provider fraud and the abuse, neglect or exploitation of residents of Medicaid-funded health care facilities, including Medicaid recipients in their homes. The Wyoming Department of Health separately operates a Program Integrity Fraud Hotline, (855) 846-2563, for suspected Medicaid-recipient (rather than provider) fraud.

The lead state enforcer of the Wyoming Consumer Protection Act, including its billing-related unfair or deceptive practices provisions and its elder and disability enhancement under Wyoming Statute 40-12-111.

Investigates and prosecutes Medicaid provider billing fraud and the abuse, neglect or exploitation of residents of Medicaid-funded health care facilities or of Medicaid recipients in home and community settings; its authority covers Medicaid-program fraud, not general private-pay billing disputes. Suspected Medicaid-recipient fraud (as opposed to provider fraud) instead goes to the Wyoming Department of Health's Program Integrity Fraud Hotline, (855) 846-2563.

The regulator to contact for a health-plan claims-payment or balance-billing complaint, since no dedicated Wyoming statute or agency handles surprise or balance billing as a stand-alone matter.

The department's leadership and section contact directory, covering its Health Policy Section and Consumer Affairs Section.

Handles policy and claim questions and complaint intake against any Wyoming-licensed insurer or agent, including health insurers and HMOs.

Handles insurer inquiries about the next Independent Review Organization in the commissioner-approved rotation and directs consumer-side external-review questions to Consumer Affairs.

Provides free, unbiased Medicare, Medicare-supplement and long-term-care-insurance counseling from trained volunteers statewide; operated by Wyoming Senior Citizens, Inc. under the state's SHIP designation. Also listed in the Department of Insurance's 2025 Consumer Insurance Guide for Medicare questions.

The board's general contact listing.

The nursing-home and other licensed-healthcare-facility complaint and enforcement unit.

A division of the Wyoming Secretary of State's office.