ACS 

  Wyoming

  Medicaid

Home

 

Provider Welcome

 

Provider Manuals and Bulletins

 

Provider Enrollment

 

Provider Locator

 

Browsers

 

Contact Us

 

FAQs

 

Fee Schedules Fee Schedules

 

Forms

 

HIPAA

HIPAA Information

 

Interpretation Services Interpretation Services

 

Links

 

Medicare Part D

 

NDC Billing Requirement

 

NPI

 

OPPS OPPS Information

 

Training Provider Training

 

Vendor Services

 

Web Portal Tutorials

 

WINASAP

 

What's New

Serving Wyoming EqualityCare Providers

 

 

Taxpayer ID # Information Change Requests


1. Download the WOLFS-109b form from the Wyoming State Auditor's Office at the following address: http://sao.state.wy.us

2. Click on the “Agency Links” button at the bottom of the page.

3. Click on “Downloads”.

4. Click on “WOLFS-109b REQUEST CHANGES TO AN EXISTING VENDOR ONLY”.

5. Complete the form as appropriate.