Wyoming Medicaid MNT coverage: codes and limits
1 row: Medicaid (by state) · Wyoming. Public policy, not the member's benefits.
Wyoming Medicaid
Medicaid (Wyoming Medicaid fee schedule, run date Oct. 1, 2026) · Wyoming
| 97802 | Listed (fee schedule line, $31.95 from 7/1/2026, ages 0 to 999, no prior authorization shown.) [1] |
|---|---|
| 97803 | Listed (fee schedule line, $27.87 from 7/1/2026, ages 0 to 999, no prior authorization shown.) [1] |
| G0270 | Listed (priced on RBRVS units, factor 27.87 from 7/1/2026.) [1] |
| G0271 | Listed (priced on RBRVS units, factor 14.77 from 7/1/2026.) [1] |
| Where it applies | Wyoming Medicaid fee schedule export with run date 2026-10-01. Rates begin 7/1/2026. [1] |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804 (group) $14.77. G0270 and G0271 are priced on RBRVS units (factors 27.87 and 14.77). S9470 has a $31.47 fee only under the Comprehensive Adult Waiver and Supports Adult Waiver benefit plans; otherwise it is priced by report. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | MIN_AGE 0 and MAX_AGE 999 on these lines. The PRIOR_AUTH column is empty. [1] |
| Referral and prior auth | Not published: call the payer. |
| Payment | 97802 $31.95; 97803 $27.87; 97804 $14.77 (factor type Fee Schedule, rate begin date 7/1/2026). [1] |
- Wyoming Medicaid: Fee Schedule export (run date 2026-10-01, FeeSchedule.xlsx), checked October 30, 2026
Check a Medicaid claim against the row
Before a Wyoming Medicaid claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see.