Wyoming PT, OT and SLP guide

For OT, PT and SLP clinics in Wyoming: three state boards license the disciplines, a physical therapist may begin treatment without a prescription, Wyoming Medicaid covers children’s therapy under EPSDT and adults within its own rules, and telehealth follows the patient’s location. Every rule here is quoted from its source.⁠^1,2,3,4,5,6

Who licenses OTs, PTs and SLPs in Wyoming?

Three state boards license the three disciplines in Wyoming, and each publishes its own licensing law, rules, renewal cycle and continuing-education requirement.⁠^1,7,8 A clinic that employs more than one discipline keeps three registers, not one.

Physical therapists and physical therapist assistants answer to the Wyoming Board of Physical Therapy.⁠^{1,37,38,39,40,41,42,43,44,45,46,47,48} Occupational therapists and occupational therapy assistants answer to the Wyoming Board of Occupational Therapy.⁠^{7,49,50,51,52,53,54,55,56,57,58,59} Speech-language pathologists answer to the Wyoming State Board of Examiners of Speech-Language Pathology and Audiology.⁠^{8,60,61,62,63,64,65,66,67,68,69,70,71} The Wyoming Board of Physical Therapy has three licensed physical therapists, one public representative and one medical doctor; it is staffed through the Professional Licensing Boards Office of the Department of Administration and Information.⁠^{1,37,38,39,40,41,42,43,44,45,46,47,48} No one may practice physical therapy in Wyoming unless licensed or certified under the act: physical therapists are licensed and physical therapist assistants are certified.⁠^{1,37,38,39,40,41,42,43,44,45,46,47,48} The Wyoming Board of Occupational Therapy sits within the Department of Administration and Information and has five members appointed by the Governor; it is staffed through the Professional Licensing Boards Office.⁠^{7,49,50,51,52,53,54,55,56,57,58,59} No one may hold out as an occupational therapist, an occupational therapy assistant or as able to practice occupational therapy in Wyoming unless licensed under the act or authorized under the Occupational Therapy Licensure Compact.⁠^{7,49,50,51,52,53,54,55,56,57,58,59} The Board of Examiners of Speech-Language Pathology and Audiology has five members appointed by the Governor; it is staffed through the Professional Licensing Boards Office of the Department of Administration and Information.⁠^{8,60,61,62,63,64,65,66,67,68,69,70,71} No one may practice or represent as a speech-language pathologist or audiologist in Wyoming unless licensed under the act.⁠^{8,60,61,62,63,64,65,66,67,68,69,70,71} A license is a state authorization; a national certification (NBCOT for occupational therapy, the ASHA certificate for speech-language pathology, the NPTE for physical therapy) is a different thing and does not replace it. Compact privileges for practitioners licensed elsewhere are covered under telehealth below.

What does a Wyoming license renewal require?

Each board sets its own cycle and hours, listed in the table above, and the register template at the end of this page tracks them per clinician.⁠^1,7,8 A renewal missed is a lapse, and the board’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.

Can a patient see a Wyoming PT, OT or SLP without a referral?

State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, a physical therapist may initiate physical therapy with or without a prescription, but must refer the patient to another health care provider when symptoms or conditions may need care beyond physical therapy or physical therapy is contraindicated.⁠^2,9,10,11 Before any physical therapy service, the patient is directed to posted information and given a handout explaining the therapist’s education and degrees, that governmental or workers’ compensation programs may not cover the service unless a physician, physician assistant, dentist, chiropractor, podiatrist or nurse practitioner prescribed it, and that the patient’s insurance may not cover it. Wyoming Medicaid, as a payer, needs initial orders certifying that therapy is medically necessary, with the practitioner renewing the orders at least every 90 days for members 21 and older and every 180 days for members 20 and under.⁠^2,9,10,11 For occupational therapy, the licensing law defines occupational therapy to include evaluating the factors that affect daily living, rest and sleep, education, work, play, leisure and social participation, and requires a license to practice.⁠^72,73,74,75 The occupational therapy rules have the licensee refer clients to, or consult with, other service providers when additional knowledge and expertise is required.⁠^72,73,74,75 For speech-language pathology, the licensing law defines speech-language pathology to include evaluation, habilitation and rehabilitation of delayed development and disorders of communication, literacy and swallowing, and requires a license to practice.⁠^76,77,78 Wyoming Medicaid, as a payer, needs initial orders certifying that speech therapy is medically necessary, as part of a treatment plan the practitioner reviews.⁠^76,77,78

The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.⁠²³ Wyoming Medicaid’s referral and prior-authorization rules are in the next section. A commercial plan’s rule is in its member contract and provider manual, and the clinic keeps a copy of each.

How does Wyoming Medicaid pay for pediatric and adult therapy?

Wyoming Medicaid is run by the Wyoming Department of Health, through its Division of Healthcare Financing, and a clinic enrolls through its provider enrollment route before it bills.⁠⁷⁹ For children, the federal EPSDT benefit requires the state to cover services that correct or ameliorate a condition found at a screening, whether or not the state plan covers them for adults.⁠⁸⁰ For members 20 and under, Wyoming Medicaid can also cover maintenance (habilitative) therapy, such as therapy for a child who is not walking or talking at the expected age. Once prior authorization is needed, habilitative therapy for children can be authorized up to 180 days at a time, and EPSDT covers children from birth through age 20.⁠^3,4,5,6

For members 21 and older, Wyoming Medicaid covers restorative therapy only, therapy that helps a member regain or improve skills or strength.⁠^12,13,14 Wyoming Medicaid sets a threshold of 20 physical therapy, 20 occupational therapy and 30 speech therapy visits a calendar year for members under 21 and for members 21 and older. Beyond it, the provider requests prior authorization from Telligen, which can authorize acute-condition visits up to eight at a time.⁠^{81,82,83,84,85} Wyoming Medicaid’s provider manual describes members choosing any participating Wyoming provider unless Medicaid restricts the choice through provider lock-in or an approved Freedom of Choice waiver, with payment made only to enrolled providers. The Division of Healthcare Financing administers the program and Acentra Health processes claims as fiscal agent.⁠^86,87 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁸⁸

How does Wyoming Medicaid want OT, PT and SLP claims coded?

Therapy documentation records time in and time out. A 15-minute unit is rounded down when seven minutes or less of the next unit is used and may be rounded up at eight minutes or more, and all modalities on the same date of service count as one visit. Therapy claims always carry a referring, attending, prescribing or ordering provider’s NPI, and the licensed therapist signs an assistant’s progress notes within 30 days.⁠^89,90,91,92 The codes, modifiers and authorization forms are the manual’s and change with it, so the clinic reads the current therapy sections before its first claim and records the manual’s page-updated date in the payer register.

Does Wyoming Medicaid pay for therapy in schools?

Wyoming Medicaid’s School-Based Services program reimburses local education agencies for health-related services, including occupational, physical and speech-language therapy, listed in a Medicaid-eligible student’s IEP or IFSP. CMS approved the program’s State Plan Amendment as of July 2022. For speech therapy billed by other providers, the provider manual lists diagnosis or treatment in a school-based setting among the conditions it does not cover.⁠^93,94 A school’s billing is the district’s, under its own program; an outpatient clinic’s claim for the same child is a separate matter with its own eligibility and authorization.

Does Wyoming Medicaid cover therapy by telehealth?

Wyoming Medicaid pays for telehealth delivered by real-time interactive audio and video, billed by the distant site with the same procedure codes and rates as in person plus the GT or 95 modifier. Speech therapists are among the distant-site practitioners the manual names, and consent is obtained verbally, by email or by text and documented.⁠^95,96,97 The telehealth section below covers the state’s own rules for the session itself.

What are Wyoming’s telehealth rules for therapy?

A therapist treating a patient by video needs authority to practice where the patient is located at the time of the session, and the federal telehealth site says so plainly: licensure follows the patient’s location, and a compact privilege is one route to it.⁠¹⁵ Wyoming lets each licensing board adopt telehealth rules, and all three therapy boards have: a therapist treating a patient located in Wyoming by telehealth needs a Wyoming license (for speech-language pathology, or a compact privilege) and holds telehealth care to the in-person standard. The physical therapy rules require informed consent to telehealth, which may be verbal or written, including by email, and the occupational therapy rules require consent before telehealth services begin, documented in the client’s record.⁠^{98,99,100,101,102,103}

A compact privilege is not a national license: it is a privilege to practice in the specific member state that issued it, under that state’s licensing law, and a state that has enacted the compact may not yet be issuing privileges, which is why the table names the commission’s current status.⁠¹⁶

Which business steps are specific to Wyoming?

The entity is registered with the Wyoming Secretary of State, and the state’s corporation and LLC laws set how a therapy entity offers professional services.⁠^26,27 Wyoming law lets a corporation whose stock is owned only by persons licensed in a profession practice that profession through its licensed stockholders or employees, and a corporation or limited liability company may offer professional services only through licensed owners or employees, each of whom stays as fully responsible as though practicing individually.⁠^28,29,30,31 State tax registration is with the Wyoming Department of Revenue, Excise Tax Division.⁠^104,105 Wyoming’s sales tax is levied on retail sales of tangible personal property and on the services the statute lists, such as the repair, alteration or improvement of tangible personal property. Prosthetic devices, hearing aids, mobility enhancing equipment, durable medical equipment and assistive devices sold under a prescription are exempt, as are disposable supplies used in direct medical care.⁠^106,107,108 Wyoming’s Worker’s Compensation Act applies to all workers in the employments it lists as extrahazardous, which include NAICS subsector 621, ambulatory health care services, and subsector 622, hospitals. An employer subject to the act applies for coverage with the Department of Workforce Services and receives a statement of coverage before starting work.⁠^109,110 A city or county business license is a local question, answered by the city hall of the clinic’s address. The startup-costs guide carries the budget worksheet these registrations go into.

What record and privacy rules apply in Wyoming?

For Wyoming Medicaid, a provider keeps medical and financial records for at least six years from the end of the state fiscal year (July through June) in which the services were rendered, and until any audit in progress is resolved. An occupational therapist keeps the records of supervising an assistant for three years.⁠^24,25 Two federal periods sit beside it and are often confused with it: Medicare requires 7 years for documentation of orders, certifications, referrals and payment requests, and HIPAA requires 6 years for its own compliance documentation, and neither sets the retention period for the clinical chart.⁠^111,112

The occupational therapy board’s code of ethics lets a licensee divulge a client’s records only as the law authorizes or with the client’s consent, and the physical therapy rules require a licensee providing telehealth to keep the patient’s health information private and confidential, including under HIPAA and other federal and state law.⁠^113,114 A business that owns or licenses computerized personal identifying information about Wyoming residents investigates a security breach promptly and in good faith and, if misuse has occurred or is reasonably likely, notifies affected residents as soon as possible and without unreasonable delay, unless law enforcement delays it in writing.⁠^115,116 Wyoming requires any person who knows or has reasonable cause to believe or suspect that a child has been abused or neglected to report it immediately to the child protective agency, the Department of Family Services’ field or regional offices, or to local law enforcement. Any person who knows or has reasonable cause to believe a vulnerable adult is being abused, neglected, exploited, intimidated or abandoned reports it immediately to law enforcement or the Department of Family Services.⁠^{117,118,119,120,121}

Which Wyoming rules shape a pediatric clinic?

Wyoming’s Early Intervention and Education Program, in the Department of Health’s Behavioral Health Division, provides early intervention at no cost to families for infants and toddlers, including physical, occupational and speech-language therapy, and its regional programs serve children with disabilities from birth through age 5, with free screenings at fourteen child development centers. Part C referral forms go to the program by email or fax.⁠^{32,33,34,35,36} A private clinic’s services run beside the early intervention program rather than inside it.

Which Wyoming rules shape an adult clinic?

Medicare claims from Wyoming go to Noridian Healthcare Solutions, the Medicare Administrative Contractor for Jurisdiction F, Parts A and B (Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming), whose local coverage articles for therapy are the ones a Wyoming clinic reads.⁠¹²² Wyoming Medicaid’s adult therapy rules are in the Medicaid section above. Wyoming’s workers’ compensation claims are paid under the Department of Workforce Services’ fee schedule in effect on the date of service, which uses the national RBRVS with five conversion factors, one of them for physical medicine, radiology and surgery.⁠¹²³

Which associations and directory pages serve Wyoming?

The state chapters are APTA Wyoming for physical therapy, the Wyoming Occupational Therapy Association (WYOTA) for occupational therapy and the Wyoming Speech-Language-Hearing Association (WyoSHA) for speech-language pathology.⁠^124,125,126 On DrSensory, families browse Wyoming clinics by discipline on the occupational therapy, physical therapy and speech therapy pages for the state, which the directory builds from the clinic addresses it holds; a clinic appears on the pages of its own address.⁠¹²⁷

Which Wyoming cities have DrSensory city pages?

Beyond its three Wyoming pages, the directory publishes city pages for one Wyoming city, Cheyenne, three pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.⁠¹²⁷

How many Wyoming PT, OT and SLP clinics does DrSensory list?

DrSensory lists 11 PT, OT and SLP clinics in Wyoming, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹²⁷

Where does each requirement come from, and what does the clinic do?

Which templates does a Wyoming launch need?

How might two Wyoming clinics plan a launch?

Sources

1. Wyoming Board of Physical Therapy (Professional Licensing Boards, Department of Administration and Information). Wyoming Board of Physical Therapy. Checked October 31, 2026.
2. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-25-102, Practice of physical therapy; license or certificate required; exceptions; false representations. Checked October 31, 2026.
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   “(c) A physical therapist may initiate physical therapy with or without a prescription from a licensed physician or other health care provider, except that a physical therapist shall refer a patient or client to another health care provider to diagnose or care for the patient or client if the physical therapist reasonably believes that symptoms or conditions may be present that require health care services beyond the scope of physical therapy practice, or physical therapy is contraindicated.”
3. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.2.2, Limitations. Checked October 31, 2026.
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   “Authorizations for Habilitative therapy for children can be authorized for up to 180 days at a time ... Maintenance therapy can be provided for Members 20 and under ...”
4. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.1, Therapy Services. Checked October 31, 2026.
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   “Maintenance (Habilitative) Services: Services that help patients keep, learn, or improve skills and functioning for daily living. Examples would include therapy for a child who is not walking or talking at the expected age.”
5. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 20, Section 20.1, Health Check (EPSDT). “Brings comprehensive healthcare to children from birth up to and including 20-years of age who are eligible for Medicaid ...” Checked October 31, 2026.
6. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.3.1, Covered Services. “Speech therapy services provided to Medicaid Members must be restorative for Members 21 and over. Maintenance therapy can be provided for Members 20 and under.” Checked October 31, 2026.
7. Wyoming Board of Occupational Therapy (Professional Licensing Boards, Department of Administration and Information). Wyoming Board of Occupational Therapy. Checked October 31, 2026.
8. Wyoming State Board of Examiners of Speech-Language Pathology and Audiology (Professional Licensing Boards, Department of Administration and Information). Wyoming State Board of Examiners of Speech-Language Pathology and Audiology. Checked October 31, 2026.
9. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-25-102, Practice of physical therapy; license or certificate required; exceptions; false representations. Checked October 31, 2026.
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   “(e) Prior to any physical therapy service, the patient or client shall be directed to posted information and delivered a handout explaining: (i) The education level and degrees held by the treating physical therapist; (ii) That coverage may not be available through governmental or worker’s compensation programs unless prescribed by a physician, physician’s assistant, dentist, chiropractor, podiatrist or nurse practitioner; and (iii) That the patient’s or client’s insurance may not cover the service.”
10. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.2.3, Documentation. Checked October 31, 2026.
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    “Initial orders certifying the medical necessity for therapy ... Practitioner’s renewal orders (at least every 90 days for Members age 21 and older, at least every 180 days for Members age 20 and under) certifying the medical necessity of continued therapy and any changes.”
11. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 3, Provider Responsibilities (taxonomy tables). “Taxonomies Always Required to Include a Referring, Attending, Prescribing or Ordering (RAPO) NPI on Claims ... 225X00000X Occupational Therapist 225100000X Physical Therapist 235Z00000X Speech Therapist ...” Checked October 31, 2026.
12. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.2.2, Limitations. Checked October 31, 2026.
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    “Members age 21 and over are limited to restorative services only. Restorative services are services that assist an individual in regaining or improving skills or strength ...”
13. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.2.1, Covered Services. Checked October 31, 2026.
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    “Physical Therapy & Occupational Therapy: Services may only be provided following physical debilitation due to acute physical trauma or physical illness. All therapy must be physically rehabilitative and provided under the following conditions: ... Prescribed during an inpatient stay continuing on an outpatient basis, OR ... As a direct result of outpatient surgery or injury ...”
14. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.3.1, Covered Services. “There must be an expectation that the Member’s condition will improve significantly.” Checked October 31, 2026.
15. U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
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    “Health professionals must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located”. Its companion page, Licensing across state lines (last updated April 30, 2025): “The ability to deliver health care services across state lines varies based on state regulations”; “Prior to an appointment, providers should verify patient location and obtain consent”; “Compacts allow participating health care providers to practice in participating states”.
16. Physical Therapy Compact Commission. PT Compact Map (States by Category). “Non-Members (10) ... U.S. Virgin Islands Wyoming ... 10 Non-Member States PT Compact Legislation Has Not Been Introduced Yet ...” Checked October 31, 2026.
17. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact. ... Wyoming Not Yet not required WY OT Practice Act ...” Checked October 31, 2026.
18. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-40-202, Compact approved and ratified (Occupational Therapy Licensure Compact). Checked October 31, 2026.
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    “The Occupational Therapy Licensure Compact as contained herein is hereby enacted into law and entered into on behalf of this state with any and all other states legally joining therein in a form substantially as provided in W.S. 33-40-202 through 33-40-216.”
19. Wyoming Board of Occupational Therapy (Professional Licensing Boards, Department of Administration and Information). Board of Occupational Therapy (home). “Occupational Therapy Licensure Compact - The Wyoming Board is a member of the OT Compact.” Checked October 31, 2026.
20. Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map (legend and Wyoming’s state entry). “Legislation Enacted - Not Yet Issuing Privileges: 33 Legislation Enacted - Issuing Privileges: 4 ... Wyoming SF 87 (2020)” Checked October 31, 2026.
21. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia.” Checked October 31, 2026.
22. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-33-402, Compact provisions generally (Audiology and Speech-Language Pathology Interstate Compact). “The Audiology and Speech-Language Pathology Interstate Compact is enacted into law and entered into on behalf of this state with all other states legally joining in the compact in a form substantially as follows ...” Checked October 31, 2026.
23. Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
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    “The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”.
24. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 3, Section 3.11.2, Retention of Records. Checked October 31, 2026.
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    “The Provider must retain medical and financial records, including information regarding dates of service, diagnoses, services provided, and bills for services, for at least six (6) years from the end of the State fiscal year (July through June) in which the services were rendered. If an audit is in progress, the records must be maintained until the audit is resolved.”
25. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Occupational Therapy Rules, Chapter 3, Standards of Practice of Occupational Therapy (effective May 10, 2023). “The supervising OT shall maintain records related to their supervision for three (3) years.” Checked October 31, 2026.
26. Wyoming Secretary of State. The Choice is Yours: A Summary of Wyoming’s Business Entities (revised 2025). Checked October 31, 2026.
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    “To remain in good standing each business entity, domestic and foreign, is required to file an annual report and pay a fee based on its assets located and employed in Wyoming or is assessed a flat filing fee. The annual report due date for all registered business entities (with the exception of Statutory Trusts) is based on the anniversary month of formation.”
27. Wyoming Secretary of State. Start a Business. “If you want to start a business in Wyoming, the links below will get you started with the Secretary of State’s Office.” Checked October 31, 2026.
28. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 17-3-101, Practice of profession through licensed stockholder or employee authorized. Checked October 31, 2026.
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    “A corporation organized under the Wyoming Business Corporation Act or the Wyoming Statutory Close Corporation Supplement, whose capital stock is owned exclusively by a person or persons licensed to practice a profession by the state of Wyoming or by an agency, office or instrumentality authorized by the laws of Wyoming to license individuals for the practice of such profession, may, by and through the person or persons of such licensed stockholder or stockholders, or licensed employees, practice and offer professional services in such profession.”
29. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 17-3-102, Licensed stockholder or employee subject to certain requirements. Checked October 31, 2026.
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    “No corporation may offer professional services or practice a profession except by and through the person or persons of its licensed stockholder or stockholders, or licensed employees, each of whom shall retain his professional license in good standing, and shall remain as fully liable and responsible for his professional activities, and subject to all rules, regulations, standards and requirements pertaining thereto, as though practicing individually rather than in a corporation.”
30. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 17-29-104, Nature, purpose and duration of limited liability company. Checked October 31, 2026.
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    “No limited liability company may offer professional services or practice a profession except by and through its licensed members or licensed employees, each of whom shall retain his professional license in good standing and shall remain as fully liable and responsible for his professional activities, and subject to all rules, regulations, standards and requirements pertaining thereto, as though practicing individually rather than in a limited liability company.”
31. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-40-103, License required (occupational therapy). “(c) Only an individual may be licensed under this act and no entity, either private or governmental, shall hold itself out as providing occupational therapy to any person unless all individuals providing occupational therapy are licensed under this act.” Checked October 31, 2026.
32. Wyoming Department of Health. Early Intervention and Education Program (EIEP). “Across the state of Wyoming are fourteen child development centers to provide free screenings and services to assist children and families.” Checked October 31, 2026.
33. Wyoming Department of Health. Early Intervention and Education Program: Information For Parents. “The Wyoming Early Intervention and Education program also provides early intervention supports and services at no cost to families for infants and toddlers. Services include: developmental screening, diagnostic evaluation, physical therapy, occupational therapy, speech-language therapy, special instructions, audiology, family service coordination and more.” Checked October 31, 2026.
34. Wyoming Department of Health. Early Intervention and Education Program: Information For Parents. Checked October 31, 2026.
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    “In Wyoming, special education for children ages 3-5 is provided by regional programs across Wyoming, under the direction of the Department of Health’s Early Intervention and Education Program. ... These programs offer a full continuum of educational services for children with disabilities, aged birth through 5 ...”
35. Wyoming Department of Health. Early Intervention and Education Program: Referral. “Part C – Early Intervention Referral Form (English) ... Submit referral forms here: Email: wdh-eiep-program@wyo.gov Fax: 307-777-5580 ...” Checked October 31, 2026.
36. Wyoming Department of Health. Early Intervention and Education Program (EIEP), contact block. “Behavioral Health Division ...” Checked October 31, 2026.
37. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-25-103, Board of physical therapy; established; members; terms; removal; compensation. Checked October 31, 2026.
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    “(a) There is established the Wyoming board of physical therapy which shall consist of three (3) physical therapists licensed pursuant to this act, one (1) public representative and one (1) medical doctor, appointed as follows ...”
38. Wyoming Board of Physical Therapy (Professional Licensing Boards, Department of Administration and Information). State of Wyoming Board of Physical Therapy (home). “The Wyoming Board of Physical Therapy is staffed through the Professional Licensing Boards Office, a division of A&I.” Checked October 31, 2026.
39. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-25-102, Practice of physical therapy; license or certificate required; exceptions; false representations. Checked October 31, 2026.
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    “(a) No individual shall engage in the practice of physical therapy services nor hold himself out as being able to practice physical therapy in the state of Wyoming unless he is licensed or certified in accordance with the provisions of this act and such license or certificate is in good standing and has not been suspended or revoked ...”
40. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-25-101, Definitions (physical therapy). Checked October 31, 2026.
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    “(v) "Physical therapist assistant" means an individual who is certified pursuant to this act and who assists a licensed physical therapist in lawfully delegated components of physical therapy subject to the provisions of this act and rules and regulations of the board ...”
41. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Physical Therapy Rules, Chapter 3, License or Certification (effective May 20, 2026). “(a) A license or certificate not renewed annually by October first is expired.” Checked October 31, 2026.
42. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-25-110, License or certificate expiration and reissuance. “(a) All permanent licenses and certificates issued pursuant to this act shall expire on October 1 of the year next succeeding their issuance.” Checked October 31, 2026.
43. Wyoming Board of Physical Therapy (Professional Licensing Boards, Department of Administration and Information). State of Wyoming Board of Physical Therapy (home). “The October 1 renewal deadline has passed. If you have not renewed your PT or PTA license, your license is expired and you are not permitted to practice or see patients in Wyoming.” Checked October 31, 2026.
44. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Physical Therapy Rules, Chapter 6, Continuing Competence (effective April 7, 2022). Checked October 31, 2026.
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    “All physical therapists and physical therapist assistants shall obtain thirty (30) continuing competence units (CCUs) every two years to be eligible for renewal. There may be no carryover of CCUs to the next reporting period. ... A licensure/certification reporting cycle begins on October 2 and ends on October 1 of the second year. ... At least fifteen (15) of the required thirty (30) CCUs shall be from Category A.”
45. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Physical Therapy Rules, Chapter 3, License or Certification (effective May 20, 2026). “(c) Renewal of a license or certificate shall include: (i) The successful completion of thirty (30) continuing competence units, including successful completion of the jurisprudence examination every two years ...” Checked October 31, 2026.
46. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Physical Therapy Rules, Chapter 7, Standards of Practice (effective April 7, 2022). Checked October 31, 2026.
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    ““Physical therapist assistant” is a person who is certified and who assists a physical therapist in the administration of physical therapy. ... “Physical therapist assistant supervision” means that at all times a supervising physical therapist is readily accessible for consultation with the physical therapist assistant, either in person or by means of telecommunications. ... When components of a patient’s treatment are delegated to a physical therapist assistant in the outpatient setting, a physical therapist must provide the treatment and documentation of its appropriateness at least every six (6) treatment sessions or three (3) weeks.”
47. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Physical Therapy Rules, Chapter 7, Standards of Practice (effective April 7, 2022). “Prohibited Acts. A physical therapist assistant shall not: (i) Perform an initial evaluation ...” Checked October 31, 2026.
48. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Physical Therapy Rules, Chapter 7, Standards of Practice (effective April 7, 2022). Checked October 31, 2026.
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    “At least once every thirty (30) calendar days the physical therapist must visit the patient and the medical/education record must reflect a documented conference with the physical therapist assistant outlining treatment goals and program modification ...”
49. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-40-114, Board of occupational therapy practice; established; compensation. “(a) There is established a board of occupational therapy within the department of administration and information. The board shall consist of five (5) members appointed by the governor, who are residents of Wyoming.” Checked October 31, 2026.
50. Wyoming Board of Occupational Therapy (Professional Licensing Boards, Department of Administration and Information). Board of Occupational Therapy (home). “The Wyoming Board of Occupational Therapy is staffed through the Professional Licensing Boards Office, a division of A&I.” Checked October 31, 2026.
51. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-40-103, License required (occupational therapy). Checked October 31, 2026.
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    “(a) No person shall hold himself out as an occupational therapist, an occupational therapy assistant or as being able to practice occupational therapy in Wyoming unless he is licensed under this act or is otherwise authorized under the Occupational Therapy Licensure Compact under W.S. 33-40-202 through 33-40-216.”
52. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Occupational Therapy Rules, Chapter 8, Renewal (effective May 10, 2023). “Licenses shall expire on July 31 of each year unless renewed under these rules. ... License renewal applications shall be postmarked or hand delivered to the Board office no later than June 15.” Checked October 31, 2026.
53. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-40-110, Renewal of license; reentry. “(a) Any license issued under this act shall be subject to annual renewal as provided by the board, however no late renewal of a license may be granted more than one (1) year after its expiration.” Checked October 31, 2026.
54. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Occupational Therapy Rules, Chapter 8, Renewal (effective May 10, 2023). “Each licensee must complete twenty-four (24) hours of CE every two years. ... All licensees shall report their number of CE hours every even numbered year in conjunction with the licensee’s application for renewal.” Checked October 31, 2026.
55. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-40-106, Requirements for licensure; continuing education. Checked October 31, 2026.
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    “(b) The board may establish continuing education requirements for an active license provided that: (i) The requirement shall not be more than sixteen (16) contact hours of continuing education per year; and (ii) Continuing education taken any time in the three (3) years preceding the annual license renewal may be counted toward fulfilling the requirement but it shall not be counted more than once.”
56. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Occupational Therapy Rules, Chapter 3, Standards of Practice of Occupational Therapy (effective May 10, 2023). Checked October 31, 2026.
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    “A licensed OTA may assist in the practice of occupational therapy only under the supervision of an OT. An OT may supervise an OTA in person or virtually through a live video and audio connection. ... The supervising OT shall determine the level of supervision the OTA requires, based on the competency the OTA demonstrates.”
57. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Occupational Therapy Rules, Chapter 3, Standards of Practice of Occupational Therapy (effective May 10, 2023). “At this level the OT shall provide close supervision, including weekly meetings and oversight ... At this level the OT shall provide general supervision, including bimonthly meetings and oversight ...” Checked October 31, 2026.
58. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Occupational Therapy Rules, Chapter 3, Standards of Practice of Occupational Therapy (effective May 10, 2023). “The supervising OT shall maintain records related to their supervision for three (3) years.” Checked October 31, 2026.
59. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-40-102, Definitions (occupational therapy). Checked October 31, 2026.
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    “(ii) "Occupational therapy assistant" or "OTA" means a person licensed under this act to assist in the practice of occupational therapy and who works under the supervision of an occupational therapist to perform tasks requiring occupational therapy professional knowledge or judgment ...”
60. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-33-201, Establishment (board of examiners of speech-language pathology and audiology). “(a) There is established the board of examiners of speech-language pathology and audiology. (b) The board shall be comprised of five (5) members appointed by the governor.” Checked October 31, 2026.
61. Wyoming State Board of Examiners of Speech-Language Pathology and Audiology (Professional Licensing Boards, Department of Administration and Information). Wyoming State Board of Examiners of Speech-Language Pathology and Audiology: Renewal Instructions. “The Wyoming Board of Examiners of Speech-Language Pathology and Audiology is staffed through the Professional Licensing Boards Office, a division of A&I.” Checked October 31, 2026.
62. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-33-103, Persons and practices affected (speech-language pathology and audiology). “(b) No person shall practice or represent himself as a speech-language pathologist or audiologist unless licensed pursuant to this act.” Checked October 31, 2026.
63. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Examiners of Speech-Language Pathology and Audiology Rules, Chapter 2, Licensure and Renewal Requirements and Application Procedures (effective January 7, 2026). Checked October 31, 2026.
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    “Licensure Expiration. Licenses shall expire December 31st of each year. Licensees shall renew their license on or before December 31st. Licensees that fail to timely renew shall forfeit the right to practice.”
64. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-33-306, Renewal of license. “(a) Licenses issued under this act expire at midnight December 31 of each year if not renewed. (b) Every person licensed under this act shall annually, on or before December 31, pay a license renewal fee to the board.” Checked October 31, 2026.
65. Wyoming State Board of Examiners of Speech-Language Pathology and Audiology (Professional Licensing Boards, Department of Administration and Information). Wyoming State Board of Examiners of Speech-Language Pathology and Audiology: Renewal Instructions. Checked October 31, 2026.
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    “If you fail to submit a timely and complete renewal application, you must apply for relicensure and you must stop practicing in Wyoming until your license new license is issued. There is no grace period.”
66. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Examiners of Speech-Language Pathology and Audiology Rules, Chapter 2, Licensure and Renewal Requirements and Application Procedures (effective January 7, 2026). Checked October 31, 2026.
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    “Attest to completion of ten (10) CEU that complies with subsection (c); ... One (1) contact hour equals one (1) CEU. ... CEU shall be obtained January 1 to December 31 of the year of expiration.”
67. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Examiners of Speech-Language Pathology and Audiology Rules, Chapter 12, Speech-Language Pathology Assistant (effective January 7, 2026). “Attest to completion of ten (10) CEU that complies with subsection ...” Checked October 31, 2026.
68. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Examiners of Speech-Language Pathology and Audiology Rules, Chapter 12, Speech-Language Pathology Assistant (effective January 7, 2026). Checked October 31, 2026.
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    “Each SLPA must be supervised by an SLP licensed in Wyoming. A written Supervision Agreement must be in place to include a record of all supervision, both direct and indirect. ... Cannot supervise more than three (3) SLPAs.”
69. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Examiners of Speech-Language Pathology and Audiology Rules, Chapter 12, Speech-Language Pathology Assistant (effective January 7, 2026). Checked October 31, 2026.
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    “Certification Expiration. Certificates shall expire December 31st of each year. Certificate holders shall renew their certificate on or before December 31st. Certificate holders that fail to timely renew shall forfeit the right to practice.”
70. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Examiners of Speech-Language Pathology and Audiology Rules, Chapter 12, Speech-Language Pathology Assistant (effective January 7, 2026). “After successful completion of the first ninety (90) days, a minimum of one hour of direct supervision each week shall be provided.” Checked October 31, 2026.
71. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-33-102, Definitions (speech-language pathology and audiology). “(ix) "Speech-language pathology assistant" means an individual who meets minimum qualifications established by board rule for speech-language pathology assistants and who works under the supervision of a licensed speech-language pathologist.” Checked October 31, 2026.
72. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-40-102, Definitions (occupational therapy). “(P) The practice of occupational therapy which includes: (I) The evaluation of factors affecting activities of daily living, instrumental activities of daily living, rest and sleep, education, work, play, leisure and social participation ...” Checked October 31, 2026.
73. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Occupational Therapy Rules, Chapter 3, Standards of Practice of Occupational Therapy (effective May 10, 2023). “The licensee shall refer clients to other service providers or consult with other service providers when additional knowledge and expertise is required.” Checked October 31, 2026.
74. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.2.3, Documentation. Checked October 31, 2026.
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    “Initial orders certifying the medical necessity for therapy ... Practitioner’s renewal orders (at least every 90 days for Members age 21 and older, at least every 180 days for Members age 20 and under) certifying the medical necessity of continued therapy and any changes.”
75. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 3, Provider Responsibilities (taxonomy tables). “Taxonomies Always Required to Include a Referring, Attending, Prescribing or Ordering (RAPO) NPI on Claims ... 225X00000X Occupational Therapist 225100000X Physical Therapist 235Z00000X Speech Therapist ...” Checked October 31, 2026.
76. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-33-102, Definitions (speech-language pathology and audiology). Checked October 31, 2026.
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    “(iv) "Speech-language pathology" means the application of principles, methods and procedures for the measurement, test administration, evaluation, prediction, counseling, instruction, training, habilitation or rehabilitation related to delayed development of and disorders of communication, literacy and swallowing including speech production and fluency, language, cognition, voice, resonance and all aspects of swallowing including related feeding behaviors for the purpose of evaluating, preventing, ameliorating or modifying these disorders and conditions in individuals or groups of individuals ...”
77. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.3.3, Documentation. Checked October 31, 2026.
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    “The practitioner’s and licensed speech therapist’s treatment plan must contain the following: ... Speech therapist’s notes and documented measurable progress and anticipated goals ... Initial orders certifying the medical necessity for therapy ...”
78. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 3, Provider Responsibilities (taxonomy tables). “Taxonomies Always Required to Include a Referring, Attending, Prescribing or Ordering (RAPO) NPI on Claims ... 225X00000X Occupational Therapist 225100000X Physical Therapist 235Z00000X Speech Therapist ...” Checked October 31, 2026.
79. HHS Technology Group, Wyoming Medicaid’s provider enrollment vendor (Discover Your Provider portal). Info for Providers. Checked October 31, 2026.
80. Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
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    “The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.”; “It is the responsibility of states to determine medical necessity on a case-by-case basis.”.
81. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 6, Section 6.7.2, Service Thresholds Per Calendar Year. Checked October 31, 2026.
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    “20 physical therapy visits per calendar year ... 20 occupational therapy visits per calendar year ... 30 speech therapy visits per calendar year ... Once the threshold has been reached for a calendar year, or once the Provider is aware the threshold will be met and the Member is nearing the threshold, a Prior Authorization may be requested for the following services ...”
82. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 6, Section 6.7.1, Service Thresholds Per Calendar Year, Under Age 21. Checked October 31, 2026.
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    “Medicaid Members under 21 years of age are subject to thresholds each calendar year for: ... Medicaid Members 21 years of age and older are subject to thresholds each calendar year for: ... Physical therapy visits ... Occupational therapy visits ... Speech therapy visits ...”
83. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.2.2, Limitations. Checked October 31, 2026.
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    “For Medicaid Members, for dates of service in excess of twenty (20) per calendar year, Providers will need to contact Telligen for prior authorization ... Authorizations for acute conditions can be authorized up to eight (8) visits at a time ...”
84. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.3.4, Prior Authorization Once Threshold is Met. Checked October 31, 2026.
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    “For Medicaid Members, for dates of service in excess of thirty (30) per calendar year for each service, Providers will need to contact Telligen for prior authorization ...”
85. Wyoming Department of Health. Wyoming Medicaid and Kid Care CHIP Member Handbook for Children. “Rehabilitative therapy under written orders of a qualified medical practitioner, when provided through a hospital, qualified medical practitioner’s office or by an independent occupational, physical, or speech therapist. ... Additional sessions may be authorized with documentation of medical necessity.” Checked October 31, 2026.
86. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Section 3.9, Freedom of Choice. Checked October 31, 2026.
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    “Any eligible non-restricted Member may select any Provider of health services in Wyoming who participates in the Medicaid Program, unless Medicaid specifically restricts their choice through Provider lock-in or an approved Freedom of Choice waiver. However, payments can be made only to health service providers who are enrolled in the Medicaid Program.”
87. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 1, Section 1.3, State Agency Responsibilities. Checked October 31, 2026.
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    “The Division of Healthcare Financing administers the Medicaid Program for the Department of Health. They are responsible for financial management, developing policy, establishing benefit limitations, payment methodologies and fees, and performing utilization review.”
88. Wyoming Department of Health. Wyoming Medicaid & Kid Care CHIP Fee Schedules (therapy fee schedules last revised July 1, 2026). “Therapies Service Rates Last Review / Revision Physical Therapy Services Fee Schedule 07/01/2026 Occupational Therapy Services Fee Schedule 07/01/2026 Speech Therapy Services Fee Schedule 07/01/2026 ...” Checked October 31, 2026.
89. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.1, Therapy Services. Checked October 31, 2026.
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    “Time and Frequency: Are required on all documentation and must be specific so time in and time out must be reflected on the document in standard or military format. Time can be a unit of 15 minutes depending on the Current Procedural Terminology (CPT) code or Healthcare Common Procedure Coding System (HCPCS) Level II code used to bill the service. For example, if the code is a fifteen (15) minute unit, then follow the guidelines for rounding to the nearest unit. If seven (7) minutes or less of the next 15-minute unit is utilized, the unit must be rounded down. However, if eight (8) or more minutes of the next 15-minute unit are utilized, the units can be rounded up.”
90. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 3, Provider Responsibilities (taxonomy tables). “Taxonomies Always Required to Include a Referring, Attending, Prescribing or Ordering (RAPO) NPI on Claims ... 225X00000X Occupational Therapist 225100000X Physical Therapist 235Z00000X Speech Therapist ...” Checked October 31, 2026.
91. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.2.3, Documentation. “Licensed therapists must sign progress notes of assistants within 30 days.” Checked October 31, 2026.
92. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 6, Section 6.7.2, Service Thresholds Per Calendar Year. “(all modalities on same date of service count as 1 visit)” Checked October 31, 2026.
93. Wyoming Department of Health. School-Based Services. Checked October 31, 2026.
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    “The School-Based Services (SBS) Program allows State Medicaid Agencies to reimburse local education agencies (LEAs) for providing these health related services to Medicaid eligible students in a school-based setting. ... Health care-related services included in the child’s IEP or IFSP are limited to: audiology services, mental health services, nursing/health services, occupational therapy services, physical therapy services, and speech-language therapy services. As of July 2022, the Centers for Medicare & Medicaid Services (CMS) has approved Wyoming’s State Plan Amendment (SPA), authorizing the SBS Program to go live.”
94. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 26, Covered Services, Therapy Services, Section 26.3.2, Limitations. “The following conditions do not meet the medical necessity guidelines, and therefore will not be covered: ... Diagnosis or treatment in a school-based setting ...” Checked October 31, 2026.
95. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 6, Section 6.23, Telehealth. Checked October 31, 2026.
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    “The examination of the Member is performed via a real time interactive audio and video telecommunications system. ... The same procedure codes and rates apply as for services delivered in person ... The modifiers to indicate a telehealth service is “GT” or "95"”
96. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 6, Section 6.23.1, Covered Services (Distant Site Providers). “Examples of physicians/practitioners eligible to bill for professional services are: ... Speech Therapist Provisionally licensed mental health professionals cannot bill Medicaid directly.” Checked October 31, 2026.
97. Wyoming Department of Health, Division of Healthcare Financing (Wyoming Medicaid). Wyoming Medicaid CMS-1500 Provider Manual, version 20.0 (October 1, 2026), Chapter 6, Section 6.23.5, Telehealth Consent. Checked October 31, 2026.
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    “The telehealth consent form is no longer required by Wyoming Medicaid. Consent must still be obtained by the Provider from the Member by one of the following methods: ... Verbally ... Email ... Text Message ... This information must be properly documented by the Provider and kept on file.”
98. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 33-1-303, Powers of licensure boards. “(iv) Adopt rules and regulations allowing the practice of telemedicine/telehealth and the use of telemedicine/telehealth technologies within an applicable profession or occupation consistent with the profession’s or occupation’s duties and obligations.” Checked October 31, 2026.
99. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Physical Therapy Rules, Chapter 7, Standards of Practice (effective April 7, 2022). Checked October 31, 2026.
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    “Services are deemed delivered where the patient is located. A patient located in Wyoming may only receive telehealth services from a physical therapist who possesses a current Wyoming license. ... Telehealth services shall be equivalent in quality to services delivered in person.”
100. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Occupational Therapy Rules, Chapter 3, Standards of Practice of Occupational Therapy (effective May 10, 2023). Checked October 31, 2026.
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     “In order to provide occupational therapy services via telehealth to a client in Wyoming, an OT or OTA must hold a current Wyoming license. ... shall exercise the same standard of care when providing occupational therapy services via telehealth as with any other mode of delivery of occupational therapy services.”
101. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Examiners of Speech-Language Pathology and Audiology Rules, Chapter 13, Telehealth (effective December 9, 2020). Checked October 31, 2026.
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     “An individual must be licensed by the Board or have been granted the privilege to practice in Wyoming under W.S. 33-33-402 to provide telehealth services to a client physically located in Wyoming at the time the services are provided ... Initial assessment of a client may be conducted via telehealth and does not have to be in person. ... Adhere to the same standard of care as if the services were performed in-person ...”
102. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Physical Therapy Rules, Chapter 7, Standards of Practice (effective April 7, 2022). Checked October 31, 2026.
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     “Licensees shall ensure that patients have provided informed consent to the use of telehealth technology. ... Patients may provide their informed consent to these risks or actions through verbal or written agreement, including by email.”
103. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Occupational Therapy Rules, Chapter 3, Standards of Practice of Occupational Therapy (effective May 10, 2023). Checked October 31, 2026.
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     “The OT shall obtain informed consent for the delivery of service via telehealth from the client prior to initiation of occupational therapy services via telehealth and maintain documentation in the client’s health record.”
104. Wyoming Department of Revenue, Excise Tax Division. Excise Tax FAQs. Checked October 31, 2026.
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     “I have a physical storefront in Wyoming? Do I need a Wyoming sales tax license? A. It depends. Not all Wyoming businesses need a Wyoming sales tax license or have a requirement to collect Wyoming sales tax. It all depends on what you’re selling and your business operations. If you are selling tangible personal property, the answer is yes. If you’re providing any other sales or services, please reach out to our Education & Taxability team for a written determination ...”
105. Wyoming Department of Workforce Services. Workers’ Compensation: New Employers. “If a business performs work in Wyoming—or hires a Wyoming resident—it must register with the Wyoming Department of Workforce Services (DWS). Registration allows DWS to determine required coverage for Workers’ Compensation and Unemployment Insurance ...” Checked October 31, 2026.
106. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 39-15-103, Imposition (sales tax). Checked October 31, 2026.
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     “(A) The sales price of every retail sale of tangible personal property within the state and upon the purchase price of persons making first use of taxable services or storing, using or consuming taxable personal property or specified digital products in this state ...”
107. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 39-15-103, Imposition (sales tax). “(J) The sales price paid for services performed for the repair, alteration or improvement of tangible personal property ...” Checked October 31, 2026.
108. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 39-15-105, Exemptions (sales tax). Checked October 31, 2026.
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     “(B) Sales of the following tangible personal property sold under a prescription: drugs for human relief excluding over-the-counter-drugs, insulin for human relief and any syringe, needle or other device necessary for the administration thereof, oxygen for medical use, blood plasma, prosthetic devices, hearing aids, eyeglasses, contact lenses, mobility enhancing equipment, durable medical equipment and any assistive device. ... (C) Sales of all noncapitalized equipment and disposable supplies which are used in the direct medical or dental care of a patient.”
109. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 27-14-108, Extrahazardous industries, employments, occupations; enumeration; definitions; optional coverage. Checked October 31, 2026.
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     “(a) This act applies to the following, which shall be deemed extrahazardous employment: ... (ii) Regardless of individual occupation, all workers employed in the following sectors, subsectors, industry groups and industries, as each is defined in the most recent edition of the North American Industry Classification System (NAICS) manual: ... (O) Health care and social services, sector 62: (I) Subsector 621, ambulatory health care services; (II) Subsector 622, hospitals ...”
110. Wyoming Department of Workforce Services. Workers’ Compensation: New Employers. “Wyoming law requires employers subject to the Workers’ Compensation Act to apply for coverage and receive a statement of coverage before starting work in the state ...” Checked October 31, 2026.
111. Code of Federal Regulations. 42 CFR 424.516, Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program (eCFR, up to date as of October 22, 2026; paragraph (f), Maintaining and providing access to documentation). Checked October 26, 2026.
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     “A provider or a supplier that furnishes covered ordered, certified, referred, or prescribed Part A or B services, items or drugs is required to—”; “Maintain documentation (as described in paragraph (f)(1)(ii) of this section) for 7 years from the date of service; and”; “Upon the request of CMS or a Medicare contractor, to provide access to that documentation”; “The documentation includes written and electronic documents (including the NPI of the physician or, when permitted, other eligible professional who ordered, certified, referred, or prescribed the Part A or B service, item, or drug) relating to written orders, certifications, referrals, prescriptions, and requests for payments for Part A or B services, items or drugs.”.
112. Code of Federal Regulations. 45 CFR 164.316, Policies and procedures and documentation requirements (eCFR, up to date as of October 22, 2026; HIPAA Security Rule; paragraph (b)). Checked October 26, 2026.
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     “Maintain the policies and procedures implemented to comply with this subpart in written (which may be electronic) form; and”; “If an action, activity or assessment is required by this subpart to be documented, maintain a written (which may be electronic) record of the action, activity, or assessment.”; “Retain the documentation required by paragraph (b)(1) of this section for 6 years from the date of its creation or the date when it last was in effect, whichever is later.”.
113. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Occupational Therapy Rules, Chapter 3, Standards of Practice of Occupational Therapy (effective May 10, 2023). “Client’s records shall only be divulged as authorized by law or with the client’s consent for release of information.” Checked October 31, 2026.
114. Wyoming Secretary of State (Wyoming Administrative Rules). Board of Physical Therapy Rules, Chapter 7, Standards of Practice (effective April 7, 2022). Checked October 31, 2026.
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     “A licensee who provides telehealth services shall ensure that the privacy and confidentiality of the patient’s health information is maintained during and following the provision of telehealth services, including compliance with HIPAA and other relevant federal and state law that applies to patient health information.”
115. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 40-12-502, Computer security breach; notice to affected persons. Checked October 31, 2026.
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     “(a) An individual or commercial entity that conducts business in Wyoming and that owns or licenses computerized data that includes personal identifying information about a resident of Wyoming shall, when it becomes aware of a breach of the security of the system, conduct in good faith a reasonable and prompt investigation to determine the likelihood that personal identifying information has been or will be misused. If the investigation determines that the misuse of personal identifying information about a Wyoming resident has occurred or is reasonably likely to occur, the individual or the commercial entity shall give notice as soon as possible to the affected Wyoming resident. Notice shall be made in the most expedient time possible and without unreasonable delay, consistent with the legitimate needs of law enforcement and consistent with any measures necessary to determine the scope of the breach and to restore the reasonable integrity of the computerized data system.”
116. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 40-12-502, Computer security breach; notice to affected persons. “(b) The notification required by this section may be delayed if a law enforcement agency determines in writing that the notification may seriously impede a criminal investigation.” Checked October 31, 2026.
117. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 14-3-205, Child abuse or neglect; persons required to report. Checked October 31, 2026.
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     “(a) Any person who knows or has reasonable cause to believe or suspect that a child has been abused or neglected or who observes any child being subjected to conditions or circumstances that would reasonably result in abuse or neglect, shall immediately report it to the child protective agency or local law enforcement agency or cause a report to be made.”
118. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 14-3-202, Definitions (child protective services). “(iv) "Child protective agency" means the field or regional offices of the department of family services ...” Checked October 31, 2026.
119. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 14-3-205, Child abuse or neglect; persons required to report. Checked October 31, 2026.
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     “(b) If a person reporting child abuse or neglect is a member of the staff of a medical or other public or private institution, school, facility or agency, he shall notify the person in charge or his designated agent as soon as possible, who is thereupon also responsible to make the report or cause the report to be made.”
120. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 35-20-103, Reports of abuse, neglect, exploitation, intimidation or abandonment of vulnerable adult; reports maintained in central registry. Checked October 31, 2026.
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     “(a) Any person or agency who knows or has reasonable cause to believe that a vulnerable adult is being or has been abused, neglected, exploited, intimidated or abandoned or is committing self neglect shall report the information immediately to a law enforcement agency or the department.”
121. Wyoming Legislature. Wyoming Statutes (as of July 1, 2026), W.S. 35-20-102, Definitions (adult protective services). “(vii) "Department" means the state department of family services or its designee ...” Checked October 31, 2026.
122. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction F (JF) (page last modified July 8, 2026). “Contract Awardee: Noridian Healthcare Solutions, LLC ... JF processes FFS Medicare Part A and Part B claims for Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming ...” Checked October 31, 2026.
123. Wyoming Secretary of State (Wyoming Administrative Rules). Department of Workforce Services, Workers’ Compensation Division Rules, Chapter 9, Fee Schedules (effective February 4, 2026). Checked October 31, 2026.
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     “All claims shall be paid in accordance with the fee schedule in effect at the time of service. ... There are five (5) conversion factors (CF) for the Professional Fee Schedule, Wyoming uses the National RBRVS system and recognizes the below conversion factors: ... Physical Med/Radiology/Surgery ...”
124. APTA Wyoming. APTA Wyoming (the state association's site). Checked October 31, 2026.
125. the Wyoming Occupational Therapy Association (WYOTA). the Wyoming Occupational Therapy Association (WYOTA) (the state association's site). Checked October 31, 2026.
126. the Wyoming Speech-Language-Hearing Association (WyoSHA). the Wyoming Speech-Language-Hearing Association (WyoSHA) (the state association's site). Checked October 31, 2026.
127. DrSensory. Occupational therapy clinics in Wyoming, with the physical therapy and speech therapy pages for the state (the directory's state pages, built from the addresses it holds). Checked October 31, 2026.
128. DrSensory. Clinic Directory Pricing. “Claiming your listing is free. The subscription is $349.99 a year or $29.99 a month for your first location, and $99.99 a year or $9.99 a month for each additional location, not per therapist.” Checked October 30, 2026.

Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. It is general guidance on running a therapy clinic in Wyoming, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.