Medicaid-third party payor conditions.

HB 25 requires health insurers operating in Wyoming - including self-insured plans, group health plans, managed care organizations, and pharmacy benefit managers - to respond to state Medicaid inquiries within 60 days regarding claims for healthcare services. It prohibits insurers from denying Medicaid payments solely due to late submission, claim format, missing prior authorization, or lack of documentation at the point of sale. The law applies directly to all entities legally responsible for paying healthcare claims in Wyoming and takes effect July 1, 2024. This streamlines Medicaid claim processing and prevents technical denials that could delay payments to providers.