Credentialing by state / Wyoming
Therapist Credentialing in Wyoming
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
Wyoming belongs to PSYPACT and the Counseling Compact, which decides how easily LPCs, LCSWs, LMFTs and psychologists in Cheyenne, Casper and Laramie can treat clients across state lines. It does not change payer enrollment: Wyoming Medicaid, Blue Cross Blue Shield of Wyoming and Medicare each credential you on their own, whatever your license route.
| PSYPACT (psychologists) | Effective, since February 15, 2023 |
|---|---|
| Counseling Compact (LPC/LMHC) | Member, issuing privileges since August 31, 2026 |
| Social Work Compact (LCSW) | Not a member |
| LMFTs | No interstate compact; license in each state |
| Medicare contractor | Noridian Healthcare Solutions, jurisdiction JF |
| Medicaid | Wyoming Medicaid, mostly fee-for-service |
| Commercial decision deadline | 60 days (Wyo. Stat. § 26-56-102 (2025)) |
Licensure Compacts in Wyoming
PSYPACT for psychologists
Wyoming's PSYPACT law took effect on February 15, 2023. A psychologist whose home state is Wyoming can apply through ASPPB for the E.Passport, which supports the Authority to Practice Interjurisdictional Telepsychology (APIT), and for the IPC, which supports temporary in-person practice (TAP) in other PSYPACT states. Both depend on holding an unrestricted Wyoming license, and both are separate from payer enrollment.
Across the border, Colorado, Idaho, Montana, Nebraska, South Dakota and Utah also participate, so a border practice can reach every adjoining state under APIT once the E.Passport is issued.
Counseling Compact for LPCs
Wyoming is one of the 40 jurisdictions that have passed the Counseling Compact, and it is live: the Commission began issuing privileges for Wyoming on August 31, 2026, making it the eighth state to go live. A counselor whose home state is Wyoming can apply through CompactConnect for a privilege to practice in another live state; as of October 2026 those are Arizona, Minnesota, Ohio, Louisiana, Georgia, Indiana, Arkansas, Tennessee and Oklahoma. None of them borders Wyoming.
Social Work Licensure Compact for LCSWs
Wyoming is not a member of the Social Work Licensure Compact. Even in the 33 member jurisdictions, multistate licenses are not yet available, so for Wyoming LCSWs the practical rule is unchanged: a license in each state where clients are located.
Compacts Grant a License Route, Not a Network Seat
A compact privilege is permission to practice; it is not enrollment. A Wyoming therapist who adds clients in another state through a compact still needs that state's Medicaid enrollment, a practice location the plans accept there, and a separate application to each commercial plan or behavioral health network in that state. CAQH (DataSpring) carries the extra license or privilege, but every payer decides on its own timeline.
Medicare for Wyoming LMFTs and Counselors
Since January 1, 2024, Medicare pays marriage and family therapists and mental health counselors directly, and a Wyoming LPC qualifies as a mental health counselor when the license and degree meet the federal definition. Enrollment is the CMS-855I in PECOS, reviewed for Wyoming by Noridian Healthcare Solutions; payment is 75% of the clinical psychologist amount. LCSWs and psychologists were already eligible, so for Wyoming practices this is the first time every licensed therapist on staff can be a Medicare provider.
Wyoming Medicaid and Its Plans
Wyoming Medicaid enrollment is filed with the Wyoming Department of Health through the Wyoming Medicaid provider portal. Wyoming runs most Medicaid as fee-for-service, so the state enrollment is the Medicaid application for a Wyoming therapy practice.
Wyoming Rules for Commercial Plans
Wyoming law gives commercial plans 60 days to decide, counted from the application, paused while an incomplete application is cured (Wyo. Stat. § 26-56-102 (2025)). A uniform credentialing application adopted by Department of Insurance rule. (Wyo. Stat. § 26-56-102) Once credentialed with a signed contract, covered services are paid back to the date the completed application was received. (Wyo. Stat. § 26-56-102)
Neighboring States
- Colorado: PSYPACT yes; Counseling Compact enacted; Social Work Compact enacted
- Idaho: PSYPACT yes; Counseling Compact no; Social Work Compact no
- Montana: PSYPACT yes; Counseling Compact enacted; Social Work Compact no
- Nebraska: PSYPACT yes; Counseling Compact enacted; Social Work Compact enacted
- South Dakota: PSYPACT yes; Counseling Compact enacted; Social Work Compact enacted
- Utah: PSYPACT yes; Counseling Compact enacted; Social Work Compact enacted
The full checklist, the carve-out networks and timelines are in our therapist credentialing guide; Medicare, Medicaid and commercial basics for every clinician type are on credentialing in Wyoming.
Questions Wyoming Therapists Ask
Can a Wyoming LPC see clients in another state by telehealth?
Yes, if Wyoming is your home state: Wyoming has been issuing Counseling Compact privileges since August 31, 2026, and privileges can be requested for the other live states (AZ, MN, OH, LA, GA, IN, AR, TN and OK). For any other state you need that state's license.
Is Wyoming a PSYPACT state?
Yes. Wyoming's PSYPACT law took effect on February 15, 2023. Wyoming psychologists can practice telepsychology into other participating states under APIT once ASPPB issues the E.Passport, but each payer still credentials them per state.
How does a Wyoming therapist join Wyoming Medicaid?
Enroll with the Wyoming Department of Health through the Wyoming Medicaid provider portal. Wyoming pays most Medicaid claims fee-for-service, so the state enrollment is the main Medicaid step.
Can Wyoming LMFTs and counselors bill Medicare?
Yes, since January 1, 2024. Marriage and family therapists and mental health counselors licensed in Wyoming enroll on the CMS-855I through PECOS, reviewed by Noridian Healthcare Solutions, and Medicare pays them 75% of the clinical psychologist amount. They need 2 years or 3,000 hours of post-master's supervised clinical experience.
Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.
Sources: PSYPACT Commission, participating states map and legislation table; Counseling Compact Commission, member states and news and go-live announcements; Social Work Licensure Compact Commission, member jurisdictions and news and status updates; CMS, Marriage and Family Therapists and Mental Health Counselors; Wyoming statute. Compact status as of October 8, 2026; confirm with the Wyoming licensing board before relying on it.