---
title: "Cigna / Evernorth ABA coverage in Wyoming: the intake guide."
url: "https://carelu.com/payers/cigna-wyoming"
markdown_url: "https://carelu.com/payers/cigna-wyoming.md"
state: WY (Wyoming)
payer: Cigna / Evernorth in Wyoming
kind: Commercial insurance
description: "How Cigna / Evernorth covers ABA for Wyoming families: national policy EN0499, no PA on assessments, Wyoming’s Bulletin 01-2019 autism parity layer (no autism statute), Wyoming behavior-analyst licensure, claim and PA clocks, and what intake should verify."
last_reviewed: October 2026
---

# Cigna / Evernorth ABA coverage in Wyoming: the intake guide.

_Payer Guide · Cigna · Wyoming · Last updated October 2026 · 18 primary sources_

> EN0499 + autism resource guide + Wyoming’s Bulletin 01-2019 parity layer; no PA on assessment codes; Evernorth carries a Wyoming addendum.

For an intake team in Wyoming, a Cigna card means three layers: Evernorth’s national ABA policy EN0499 with the Cigna autism resource guide, Wyoming’s parity-based autism coverage (Bulletin 01-2019, since Wyoming has no autism statute), and the plan’s funding type. Many Cigna members are on self-funded employer plans, so check funding first; Evernorth’s own Wyoming addendum says its provisions "do not apply with regard to Covered Services rendered to Participants covered under self-funded plans."

## Prior authorization and diagnosis at a glance

- **Prior auth for the assessment**: Not required for 97151, 97152 and 0362T with an autism diagnosis when the provider is independently licensed or a BCBA and the plan covers ABA (Cigna autism resource guide) [2]
- **Prior auth for treatment**: Required: completed assessment and treatment plan on the Applied Behavior Analysis Prior Authorization Form; request up to 30 days before or two weeks after the start date [2][1]
- **Autism diagnosis required?**: Yes: ASD (F84.0–F84.9 except F84.2 Rett) under DSM-5-TR criteria [1]

## At a glance

- **Covers ABA?:** Yes, for ASD, per national policy EN0499
- **State mandate:** None by statute: Insurance Department Bulletin 01-2019 under W.S. 26-20-701 (mental health parity), effective 7/1/2019
- **Mandate age:** None stated in the bulletin
- **Mandate caps:** No separate cost-sharing or treatment limits that apply only to autism/mental health benefits
- **Exempt from mandate:** Self-funded ERISA employer plans, and policies with no mental health coverage
- **Licensure:** Yes: Wyoming licenses behavior analysts and assistants (W.S. 33-27-124); technicians exempt under supervision
- **Fee schedule:** Not public — your ABA fee schedule is Exhibit A of your Evernorth Provider Agreement; fee questions to Evernorth Provider Services, 800.926.2273

## The national policy, applied in Wyoming

Cigna, through Evernorth Behavioral Health, covers ABA under EN0499 (effective May 15, 2026). Per the autism resource guide, prior authorization is no longer required for assessment codes 97151, 97152 and 0362T with an autism diagnosis, as long as the provider is independently licensed or a BCBA and the plan covers ABA; treatment needs the completed assessment and treatment plan on the ABA Prior Authorization Form. Neither EN0499 nor the resource guide mentions Wyoming, so the national criteria apply. EN0499 names a "Licensed Behavior Analyst (LBA)" alongside the BCBA as a case supervisor, which fits Wyoming’s licensure system. [1][2][3]

Evernorth’s Administrative Guidelines (September 2026) attach a Wyoming Regulatory Addendum to its provider agreements. It commits Evernorth to W.S. 26-15-124 "regarding payment of claims" (the 45-day rule) and bars refusing to re-contract with or pay a provider for discussing plan terms with a patient (W.S. 26-22-504). Its provisions "do not apply with regard to Covered Services rendered to Participants covered under self-funded plans." [1][2][3]

## The Wyoming autism coverage rule: Bulletin 01-2019

Wyoming has no autism insurance statute, and intake should say so plainly. The state’s autism coverage comes from mental-health parity. W.S. 26-20-701 (the Mental Health and Substance Use Disorder Insurance Parity Act, House Enrolled Act 89, signed February 27, 2019) requires individual and group health insurance policies, nonprofit service contracts and HMO contracts to meet the federal Mental Health Parity and Addiction Equity Act. On April 19, 2019 the Insurance Department issued Bulletin No. 01-2019 applying it to autism: "treatments for Autism Spectrum Disorder cannot be excluded from the mental health services in an insurance policy," for "all individual and group health insurance policies that offer mental health benefits and are under the jurisdiction of the Department," effective "no later than July 1, 2019." Three lines matter most for ABA. "Exclusion of Applied Behavior Analysis (ABA) therapy to treat children with autism spectrum disorder on the basis that ABA therapy is experimental or investigational treatment will not be allowed." Autism benefits "may not be subject to any separate cost-sharing requirements or treatment limitation that only apply to mental health/substance use disorder benefits," and any quantitative or non-quantitative limit (including preauthorization and medical-necessity rules) must match what applies to medical/surgical benefits in the same classification. And carriers may still review medical necessity, including periodic review of continuing treatment, if the review is no more stringent than for medical/surgical care. The bulletin defines treatment as "evidence-based care and related equipment prescribed or ordered for an individual diagnosed with an autism spectrum disorder by a licensed physician or a licensed psychologist who determines the care to be medically necessary, including but not limited to behavioral health treatment." It sets no age limit and no dollar cap. Its limits: a bulletin is weaker than a statute; it reaches only policies that include mental health coverage; and self-funded employer plans regulated by ERISA are outside the Department’s jurisdiction. [4][5][6]

## Licensure, credentialing and out-of-state BCBAs

Wyoming licenses behavior analysts. Since 2022 (HB0110, Enrolled Act 18) the State Board of Psychology "shall issue a license as a behavior analyst or an assistant behavior analyst" to an applicant who "holds a current certification as a board certified behavior analyst" (or BCaBA) verified with the certifying entity (W.S. 33-27-124(a)); the Board’s rules name "The BACB" as "the sole certifying entity recognized by the Board" and require BACB verification, license verification from every other state, proof of lawful presence and fingerprint cards (Rules ch. 4, § 4-3). A licensed assistant behavior analyst practices "only under the supervision of a licensed behavior analyst or licensed psychologist" (33-27-124(c)); the Board’s rule requires that supervision to be "at least two percent (2%) of the total behavior-analytic service hours provided per month," with at least one meeting a month (Board Rules ch. 14, § 14-5). Behavior technicians are not licensed: 33-27-125(a)(viii) exempts a technician "under the supervision of a licensed behavior analyst or licensed assistant behavior analyst," who may not design assessment or intervention plans, and (ix) exempts a caregiver working under that analyst’s direction. Representing yourself as a behavior analyst and practicing without a license or an exemption is a misdemeanor (33-27-119(b)). For a BCBA licensed in another state there is no shortcut written down for behavior analysts: 33-27-124(b) lets the Board license someone "currently licensed as a behavior analyst … in good standing in another jurisdiction that has licensure requirements comparable to" Wyoming’s, but that is still a Wyoming license, and the Board’s temporary 30-day license (Rules ch. 3, § 3-1) is written only for psychologists. Payers add their own floor: Wyoming Medicaid says a telehealth provider "must be licensed by, or otherwise under the jurisdiction of, the appropriate State of Wyoming licensing board," and BCBSWY says telemedicine providers "must be licensed in Wyoming." Plan on a Wyoming license for any BCBA treating a Wyoming child, including by telehealth. Credentialing has a state clock: under W.S. 26-56-102 a carrier must acknowledge an application within 7 calendar days, flag an incomplete one within 30, and "conclude the process of credentialing … within sixty (60) calendar days," and once you are credentialed with a contract in effect it must pay covered services "beginning with the date the health carrier received a completed credentialing application." Commercial ABA rates are negotiated and unpublished; the only public benchmark is the Wyoming Medicaid fee schedule (97153 $12.30 and 97155 $24.60 per 15-minute unit from July 1, 2026). [8][9][10][19][20][11][21][22][6][16]

## Claims operations in Wyoming

Wyoming’s insurance code sets three clocks that apply to fully insured plans. Claims: "Claims for benefits under a life, accident or health insurance policy shall be rejected or accepted and paid by the insurer … within forty-five (45) days after receipt of the proofs of loss and supporting evidence" (W.S. 26-15-124(a)); a court can add attorney’s fees and 10% interest when a refusal to pay is unreasonable. Prior authorization: the Ensuring Transparency in Prior Authorization Act (W.S. 26-55, effective July 1, 2024) requires a decision on a non-urgent request "within five (5) calendar days of obtaining all necessary information" and on an urgent one within 72 hours, after which an urgent request "shall be considered authorized"; it defines urgent services to "include mental and behavioral health care services." Outpatient authorizations must be valid for "not less than one (1) year," an approval cannot be revoked if the service is delivered within 45 business days, a new plan must honor a prior plan’s authorization for at least 90 days, a peer-to-peer must be offered within 5 business days of a denial, and since January 1, 2026 a provider whose requests for a service were at least 90% approved (minimum five requests) in the past 12 months is exempt from PA for that service for a year (26-55-112). Telehealth: a policy covering mental health may not deny coverage for a service "delivered using remote audio or audio-visual delivery systems" if it would cover it in person, may not charge higher cost-sharing, and may not pay the provider less than in person (W.S. 26-20-701(b)). Autism treatment counts as mental health under the Department’s Bulletin 01-2019. Whether a given ABA code is "covered in person" is still the plan’s call, and self-funded ERISA plans sit outside all three statutes. [6][7][4][3][2][1]

Evernorth’s own claims rules: file "within 90 days of the date of service or as otherwise defined in your Provider Agreement," unless "Applicable state law provides for a longer timely filing limit," with the COB clock running from the primary payer’s processing date. Electronic claims use payer ID 62308; on paper, only a BCBA or other licensed provider goes in box 33. Virtual services carry modifier 95, which "will not change the reimbursement." Appeals of contract-rate decisions are due within 180 days of the initial denial. [6][7][4][3][2][1]

Billing details from Evernorth’s own documents. Codes: "All ABA services must be billed with CPT codes 97151–97158, 0362T, and 0373T ONLY," so H-codes are not accepted for ABA. Telehealth: "All ABA CPT codes are covered telehealth services"; on the CMS-1500 use "Modifier 95 in Field 24-D to specify telehealth" and "02 for Place of Service in Field 24-B"; neither document says the authorization must flag telehealth. Filing: claims must be "submitted within 90 days of the date of service or as otherwise defined in your Provider Agreement" unless state law gives longer; for coordination of benefits the 90 days run from the primary payer’s EOB or EOP; a claim Evernorth returns for more information gets a fresh 90 days from its request; corrected claims carry frequency code 7 (replace) or 8 (void) in field 22, without a "Corrected Claim" stamp. Reauthorization (EN0499): an updated treatment plan; "Quantitative baseline, interim and current data" with the dates they were collected for every behavior and skill across all settings; current data collected within 60 days before the continued-treatment start date and within 60 days before the request is received; a standardized assessment no more than one year before the start date; and a written plan to address barriers if progress stalls. EN0499 asks for dated data, not graphs by name. Supervision runs one to two hours per ten hours of direct treatment, with no published cap on technicians per supervisor. [6][7][4][3][2][1]

## What is Cigna’s fee schedule for ABA?

Cigna publishes no ABA rate table. Evernorth’s Administrative Guidelines (September 2026) say the Provider Agreement terms "include the reimbursement rates applicable to covered services," and tell ABA providers: "For your fee schedule and a listing of autism spectrum disorder–related services eligible for reimbursement, refer to Exhibit A in your Provider Agreement." Fee and contract questions go to Provider Services at 800.926.2273. Non-credentialed technicians are paid only through the supervising provider’s claim. For a public benchmark, Wyoming Medicaid pays 97153 at $12.30 per 15 minutes from July 1, 2026; commercial contracts are negotiated separately. [3][2][16]

## Intake gates

The questions that decide whether a family can start with Cigna / Evernorth in Wyoming, and what they have to bring.

- **Diagnosis recency**: No expiry on the diagnosis, but the request needs the date it was most recently made, and a provisional or rule-out diagnosis doesn’t count. The clocks run on data: the standardized instrument within 60 days before treatment and baseline data within 60 days before treatment starts. [1]
- **Who may diagnose**: A healthcare professional licensed to practice independently "whose licensure board considers diagnostics" within scope, applying DSM-5-TR criteria. Wyoming excludes diagnosis from the practice of behavior analysis (W.S. 33-27-113(a)(xiii)). [1][8]
- **Diagnostic tools required**: No single instrument is mandated, but it must be standardized and the current edition ("must be the Vineland-3 vs. Vineland-II"), administered within 60 days before treatment starts. [1]
- **Referral required?**: EN0499 requires no referral. Assessments 97151, 97152 and 0362T need no PA with an autism diagnosis when the provider is independently licensed or a BCBA; treatment needs the assessment and plan on the ABA PA form. Wyoming’s Bulletin 01-2019 defines covered autism treatment as care "prescribed or ordered for an individual diagnosed with an autism spectrum disorder by a licensed physician or a licensed psychologist," so keep that prescription or order on file for a fully insured plan. Self-funded ERISA plans sit outside the bulletin. [2][1][4]
- **Telehealth**: "All ABA CPT codes are covered telehealth services" per the autism resource guide, and EN0499 allows "traditional in-person service delivery, telehealth, or a hybrid." Virtual services carry modifier 95, and providers "must meet all state requirements to provide virtual behavioral services, including any licenses," which in Wyoming means the behavior-analyst license. Fully insured Wyoming plans are also bound by W.S. 26-20-701(b) (no denial, extra cost-sharing or lower pay for remote delivery of covered mental health services). On the claim, Evernorth wants "Modifier 95 in Field 24-D to specify telehealth" and "02 for Place of Service in Field 24-B"; its documents do not say the authorization must flag telehealth. [2][1][3][6]
- **Age limit** _(plan-dependent)_: EN0499 sets no age cap; it says access to focused intervention "should not be restricted by age." Age terms come from the benefit plan. For fully insured Wyoming plans that include mental health coverage, Bulletin 01-2019 sets no age limit and no dollar cap, and bars autism-only limits that do not apply to medical/surgical benefits. Self-funded ERISA plans are outside it, so plan funding type decides whether that binds. [1][4]
  - Ask the plan: Live benefits verification, or the Evernorth Autism Care Coordinator team on 877.279.7603: establish fully insured vs. self-funded ERISA first.
- **Prior-auth decision time** _(plan-dependent)_: Depends on how the plan is funded. Fully insured plans fall under W.S. 26-55: a non-urgent prior-authorization decision is due "within five (5) calendar days of obtaining all necessary information to complete the review," and an urgent one within 72 hours, after which it "shall be considered authorized." The Act defines urgent health care services to "include mental and behavioral health care services," which read literally puts behavioral health requests, ABA included, on the 72-hour clock; ask the carrier how it applies that. An outpatient authorization must be valid for "not less than one (1) year" (one year for a chronic condition), and a peer-to-peer must be offered within 5 business days of an adverse determination. Self-funded employer (ERISA) plans follow 29 CFR 2560.503-1: pre-service decisions "not later than 15 days after receipt of the claim," one 15-day extension, urgent care within 72 hours. Cigna/Evernorth publishes no Wyoming-specific ABA turnaround or reauthorization lead time. Evernorth encourages ABA requests "up to 30 days in advance of or two weeks after the start date of service"; later requests may go to retrospective review, which can take up to 30 days. [6][7][12][2]
  - Ask the plan: At benefits verification ask whether the plan is fully insured (Wyoming-regulated) or self-funded (ERISA), whether Cigna/Evernorth treats ABA as an urgent behavioral health service under W.S. 26-55-102(a)(x), and what authorization length and reauthorization lead time it will use.
- **Other insurance (who pays first)** _(plan-dependent)_: Wyoming’s Insurance Department rule on coordination of benefits (Rules ch. 10, § 10-3, amended effective 9/13/2023) sets the order: the plan covering the person "other than as a dependent" is primary; for a child whose parents "are married or are living together," "The plan of the parent whose birthday falls earlier in the calendar year is the primary plan" (same birthday: the plan that has covered a parent longest). For divorced or separated parents a court decree assigning health coverage decides; with none, the custodial parent’s plan pays first, then the custodial parent’s spouse’s, then the non-custodial parent’s, then that parent’s spouse’s. If the plans cannot agree within 45 calendar days after receiving everything needed to pay, they pay in equal shares. Self-funded ERISA plans are not bound by the rule and follow their plan documents. If the child also has Wyoming Medicaid, Cigna/Evernorth pays first: Medicaid "is the payer of last resort" and pays no more than the remaining patient responsibility (42 CFR 433.139; Wyoming Medicaid CMS-1500 manual ch. 7). TRICARE pays after this plan (10 U.S.C. 1079(i)(1)); CHAMPVA is the last payer (38 CFR 17.270). [17][18][6][13][21][14][15]
  - Ask the plan: Ask Cigna/Evernorth at benefits verification for the member’s coordination-of-benefits order (and whether the plan uses the birthday rule), and record every other coverage the child has.

## Delivery and billing rules

Coverage decides whether Cigna / Evernorth in Wyoming pays. These decide whether the claim survives: staffing and supervision, concurrent billing, per-day ceilings, who signs the note, where the service is payable, and whose NPI the claim goes out under.

- **Supervision**: Case supervision is by a BCBA, a Licensed Behavior Analyst, or an independently licensed mental health professional with ABA training. Direct plus indirect case supervision runs at "one to two hours per ten hours of direct treatment"; at 10 hours a week or less, at least one to two hours a week of direct case supervision. The supervisor’s name and credentials must be documented. EN0499 publishes no cap on the number of technicians one supervisor may oversee. [1]
- **Concurrent billing (97153 + 97155)**: "Only one provider can bill for a unit of time, with the exception of CPT codes 97153, 97154, and 97155 (direct supervision when the BCBA/qualified health care provider directs the technician and both are face-to-face with the patient at the same time)." [2]
- **Daily limits / MUEs**: No per-day cap is published. All ABA codes bill in 15-minute units and "with CPT codes 97151–97158, 0362T, and 0373T ONLY"; intensity must reflect severity, goals and response to treatment. [2][1]
- **Session-note signature**: Each service needs its own record including start and end date and time, location, the intervention, who was present, and the "Name, credential (if applicable), and signature of ABA provider who rendered the service." [1]
- **Place of service**: EN0499 expects data and goals across the settings where treatment occurs (home, clinic, school, community). Primarily educational or vocational services are not covered, and services in academic or vocational settings must still meet the direct-treatment definition. [1]
- **Bill as provider**: "Evernorth does not credential nonlicensed/noncertified staff. Services for these staff members must be billed under the supervising provider." On a CMS-1500, "List only a BCBA or other licensed provider in box 33"; electronic claims use payer ID 62308. [2]

## What intake should collect for Cigna / Evernorth in Wyoming

- **Plan funding type:** Fully insured (Bulletin 01-2019, W.S. 26-55 and Evernorth’s Wyoming addendum apply) vs. self-funded ERISA (plan document governs).
- **Member ID + card photo:** Enough to run a live benefits verification.
- **Diagnosis report:** Diagnosing clinician’s name, credentials and licensure type, plus the date of the most recent diagnosis. Provisional or rule-out diagnoses don’t count.
- **Standardized assessment timing:** Instrument administered within 60 days before treatment starts.
- **Physician or psychologist order:** The bulletin defines covered treatment as care prescribed or ordered by a licensed physician or psychologist.

Free verification-call checklist (PDF): https://carelu.com/downloads/aba-verification-call-checklist.pdf

## Common questions

### Does Cigna accept H-codes for ABA?

No. Evernorth says all ABA services must be billed with CPT 97151–97158, 0362T and 0373T only.

### Does Cigna require graphs for ABA reassessments?

EN0499 asks for dated quantitative baseline, interim and current data (current data within 60 days) and a standardized assessment within a year; it does not name graphs.

### What is Cigna’s timely filing limit for ABA claims?

90 days from the date of service unless your agreement or state law allows longer; for secondary claims, 90 days from the primary payer’s EOB.

### Does Cigna cover ABA therapy in Wyoming?

Yes, under national policy EN0499 for ASD. Fully insured Wyoming plans with mental health coverage are also bound by Bulletin 01-2019. Self-funded employer plans follow their own documents.

### Does the Cigna ABA assessment need prior authorization in Wyoming?

No, for 97151, 97152 and 0362T with an autism diagnosis when the provider is independently licensed or a BCBA. PA starts at treatment.

### Does a BCBA need a Wyoming license to bill Cigna?

Plan on it. Wyoming licenses behavior analysts, and Evernorth requires providers to meet all state licensing requirements, including for virtual services.

### What is Evernorth’s timely filing limit?

90 days from the date of service unless your Provider Agreement or state law sets a longer limit.

### What does Cigna pay for ABA in Wyoming?

Cigna publishes no ABA rates. Your fee schedule is Exhibit A of your Evernorth Provider Agreement; call Provider Services (800.926.2273) with fee questions. Wyoming Medicaid’s 97153 rate ($12.30 per 15 minutes) is the only public benchmark.

## Primary sources

1. [Evernorth EN0499 — Intensive Behavioral Interventions (eff. 5/15/2026)](https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/en_mm_0499_coveragepositioncriteria_intensive_behavioral_interventions.pdf)
2. [Cigna / Evernorth autism resource guide (March 2025)](https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/autism-resource-guide.pdf)
3. [Evernorth Behavioral Health Administrative Guidelines (PCOMM-2026-191, September 2026; incl. Wyoming Regulatory Addendum)](https://static.evernorth.com/assets/evernorth/provider/pdf/resourceLibrary/behavioral/ebh-provider-admin-guide.pdf)
4. [Wyoming Insurance Department Bulletin No. 01-2019 — Coverage of Treatments for Autism Spectrum Disorder (April 19, 2019)](https://drive.google.com/open?id=1lO3Ix_H6YEDE-Ac60d9KadGEixbDjZ_u)
5. [Wyoming Insurance Department — Memoranda and Bulletins index (Bulletin 01-2019 listed)](https://doi.wyo.gov/legal/memorandum)
6. [Wyoming Statutes Title 26 (Insurance Code) — 26-15-124 claim payment, 26-20-701 mental health parity, 26-34-133 HMO COB, 26-55 prior authorization, 26-56 credentialing](https://wyoleg.gov/statutes/compress/title26.pdf)
7. [Wyoming HB0014, Enrolled Act No. 14 (2024) — Ensuring Transparency in Prior Authorization Act (eff. 7/1/2024; 26-55-112 eff. 1/1/2026)](https://wyoleg.gov/2024/Enroll/HB0014.pdf)
8. [Wyoming Statutes Title 33, ch. 27 — W.S. 33-27-113 (definitions), 33-27-119 (practice without license), 33-27-124 (behavior analyst licensure), 33-27-125 (exemptions)](https://wyoleg.gov/statutes/compress/title33.pdf)
9. [Wyoming HB0110, Enrolled Act No. 18 (2022) — created behavior analyst licensure under the State Board of Psychology](https://www.wyoleg.gov/2022/Enroll/HB0110.pdf)
10. [Wyo. Board of Psychology Rules ch. 14, § 14-5 — Supervision, BCaBA (eff. 1/30/2023)](https://www.law.cornell.edu/regulations/wyoming/068-14-Wyo-Code-R-SS-14-5)
11. [BACB — U.S. Licensure of Behavior Analysts (Wyoming: 2022, WY Board of Psychology)](https://www.bacb.com/u-s-licensure-of-behavior-analysts/)
12. [29 CFR 2560.503-1 — ERISA claims procedure (eCFR)](https://www.ecfr.gov/current/title-29/section-2560.503-1)
13. [42 CFR 433.139 — Medicaid third-party liability (eCFR)](https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-433/subpart-D/section-433.139)
14. [10 U.S.C. 1079(i)(1) — TRICARE pays after other coverage except Medicaid](https://www.govinfo.gov/content/pkg/USCODE-2023-title10/html/USCODE-2023-title10-subtitleA-partII-chap55-sec1079.htm)
15. [38 CFR 17.270 — CHAMPVA is the last payer](https://www.ecfr.gov/current/title-38/section-17.270)
16. [Wyoming Medicaid — Downloadable Fee Schedule (FeeSchedule.xlsx, run date 10/01/2026)](https://www.wyomingmedicaid.com/portal/sites/default/files/inline-files/Fee_Schedules/FeeSchedule.xlsx)
17. [Wyoming Insurance Department Rules ch. 10 (Coordination of Benefits), § 10-3 — Order of Benefit Determination (amended eff. 9/13/2023; LII copy)](https://www.law.cornell.edu/regulations/wyoming/044-10-Wyo-Code-R-SS-10-3)
18. [Wyoming Insurance Department Rules ch. 10, § 10-2 — Definitions and Procedures (what counts as a “plan”; LII copy)](https://www.law.cornell.edu/regulations/wyoming/044-10-Wyo-Code-R-SS-10-2)
19. [Wyo. Board of Psychology Rules ch. 4, § 4-3 — Behavior Analyst License Application Requirements (BACB the sole certifying entity)](https://www.law.cornell.edu/regulations/wyoming/068-4-Wyo-Code-R-SS-4-3)
20. [Wyo. Board of Psychology Rules ch. 3, § 3-1 — License Types (temporary license is for psychologists only)](https://www.law.cornell.edu/regulations/wyoming/068-3-Wyo-Code-R-SS-3-1)
21. [Wyoming Medicaid — CMS-1500 Provider Manual (Acentra Health, v20.0, effective 10/01/2026; ch. 6, 7, 9, 12.7 ABA)](https://wyomingmedicaid.com/portal/References/latestproviderfiles/BMS_Acentra%20Health_CMS-1500%20Provider%20Manual_N_2026.10.01_v20.0.pdf)
22. [Blue Cross Blue Shield of Wyoming — Provider Policies and Procedures Manual (revised May 28, 2026; posted as effective 6/16/26)](https://www.bcbswy.com/wp-content/uploads/BCBSWY-Provider-Manual-Effective-061626.pdf)

Payer policies change frequently and vary by plan, state, and funding type. This guide was compiled from the sources above and last reviewed October 2026; it is general information, not billing, legal, or clinical advice. Always verify current requirements against the payer's live policy and a benefits check for the specific member.

Source: Carelu ABA Payer Directory — https://carelu.com/payers. Free to cite with attribution.