Provider Application

Substance Use Treatment Certification

State of Wyoming Department of Health
Behavioral Health Division

The Division Certification Process is now a fully automated system and process. If the application portal does not work properly, or if you receive an error message, you may call: 1-800-535-4006 to report technical problems.
Submitting Your Application / Renewal Application On-Line
Welcome! This web portal provides the official utility to apply, renew, and update Behavioral Health Division Substance Use Disorder Certified Provider Information for the Wyoming Department of Health. The application is a multi-step process, as described below.


For All Providers: To prepare, you may want to first print the guidance document for New Substance Use Disorders Applicants.

new

Guidance Document in process….
Link.FAQ.docx    Link.Guide.docx    Link.Standards.docx

Before You Begin: Obtain Username and PIN  It is important to keep your Username and PIN in a safe place to access the online application in case you do not finish the application on your first attempt. Also to renew state certification on an annual basis, in addition to updating your demographic changes as they occur:

  1. Step 1: Basic Demographics
  2. Step 2: Additional Demographics
  3. Step 3: Levels of Service
  4. Step 4: Submit Required Documents
  5. Step 5: Submit Required Disclosures
  6. Step 6: Confirm Your Application

If you want to submit a brand new application or submit a first time Renewal Application, you will need to get a new access PIN, click here: Start New Application
 
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If you already have a Username and PIN, enter it here to access your partially completed application:
Username   PIN