Updated September 4, 2026. Quick answer: yes, through Community Choices Waiver (CCW): 1915(c) waiver, Wyoming Medicaid Rules Chapter 34. Medicaid does not pay the facility’s room and board either way; only the care and service component.
What Wyoming covers
| Waiver / state plan option | Community Choices Waiver (CCW): 1915(c) waiver, Wyoming Medicaid Rules Chapter 34 |
|---|---|
| Covers an assisted living setting? | Yes: “Restraints shall not be authorized unless: (A) The participant receives services in an assisted living or skilled nursing facility; and (B) The restraint is supported by a specific assessed need and justified in the participant’s service plan.” |
| Room and board | Never covered by Medicaid, in Wyoming or any state; see below. |
The room-and-board split
Federal law is the floor every state builds on: “The Secretary may by waiver provide that a State plan approved under this subchapter may include as “medical assistance” under such plan payment for part or all of the cost of home or community-based services (other than room and board) approved by the Secretary” (42 U.S.C. §1396n(c)(1), Social Security Act §1915(c)). The words in parentheses do the work: whatever a state’s waiver pays for inside an assisted living community, it is not the rent, the meals, or the room itself. That portion stays the resident’s own to fund, out of income, savings, or a family contribution; the waiver only ever reaches the care and service layer on top of it. Wyoming’s own materials say the same thing directly: “Costs for room and board are not covered or included in the reimbursement for CCW services, except as provided in 42 C.F.R. § 441.310(a)(2). Participants who receive services in a provider-owned or controlled residential setting are responsible for all room and board costs pursuant to the participant’s lease or similarly enforceable residential agreement.” (Wyoming Medicaid Rules, Chapter 34 (Community Choices Waiver Program), Section 12(b)).
The waitlist
Not published by the state in the materials reviewed this session.
What you get to keep: the personal needs allowance
Not published in the materials reviewed this session. This is the amount of a waiver participant’s own income the state lets them keep for personal spending after the rest goes toward the cost of their care; it varies by state because each state sets its own figure inside the federal floor.
What this doesn’t answer
The coverage verdict is Yes on the strength of Chapter 34’s restraint-authorization rule, which explicitly names assisted living as a setting where CCW participants receive services (real primary evidence, but narrower than a covered-services list naming assisted living outright); the CCW Service Index and Participant Handbook returned 404/unreadable errors and could not be verified firsthand. Room-and-board exclusion is cleanly sourced from Chapter 34 itself. Chapter 34 confirms the CCW waitlist mechanism exists (Section 6) but not current open/closed status or count with a date, and no PNA figure was found in the rule text, so both are marked unverified.
Sources
Read September 4, 2026.
Same question, other states: District of Columbia · Nebraska.
Related: what assisted living actually costs · assisted living vs. staying home vs. a CCRC · why home care has a waitlist and a nursing home doesn’t.
General information drawn from each state’s own Medicaid agency and federal statute, not legal, tax or financial advice. Medicaid is administered state by state; waiver names, coverage decisions, waitlists and allowance amounts change by state budget and legislative action. This page cannot see your own state’s current caseload. We are not a law firm, a benefits counselor, or a fiduciary, and this is not personalized advice. We sell nothing on this page and earn nothing from it.
Related: Wyoming’s Medicaid Personal Needs Allowance; the amount a nursing-facility resident keeps from their own income each month.