What is the Wyoming Medicaid, Division of Healthcare Financing Pay for Participation (P4P) program?

The Pay-for-Participation program, launched in 2007, continues to expand its efforts to encourage practitioners to provide preventive screenings and services to their Medicaid clients, particularly those who have a chronic illness. A strong focus is recommended for all clients to practice healthy lifestyles and on preventing illness before it occurs. Specific codes are available for billing these services.

 
How can our clinic get started?

Healthy Together staff will lead you, step-by-step, through implementing the P4P program. We have all the tools to assist your clinic:

• Our staff will work with you and your staff in using the new codes and providing additional services.
• Education to assist providers in using up-to-date evidence-based clinical guidelines for patient care.
• A toll-free referral number 1-888-545-1710 is available to refer clients with a new or established chronic illness. You can also download this P4P referral form and fax to
  1-888-242-1928. Each client receives a personal Health Coach that will provide telephonic case support, reinforce treatment plans, provide education, and encourage self-management to assist in improving patients’ health outcomes.
• Our staff offers “practice management consulting” to improve billing and referral processes.

 
For information on how to implement the P4P program contact:

APS Healthcare
307-433-0970