Department Of Health Wyoming

Department Of Health Wyoming, a U.S. state government entity headquartered in Cheyenne, Wyoming, operates as a federal grant recipient across health, nutrition, aging, and social services programs, with 95 percent of its federal footprint as a prime recipient of block grants, formula grants, and cooperative agreements and five percent in grant sub-awards. The agency does not hold prime federal contracts; its limited contract activity consists of task orders under two indefinite delivery contracts with the Centers for Disease Control and Prevention and the Social Security Administration for vital statistics and death records services.

Wyoming Department of Health's portfolio centers on administering federal entitlements and discretionary grants across public health infrastructure, nutrition assistance, aging services, substance use disorder prevention and treatment, mental health services, and Medicaid and CHIP administration. Representative prime grant work includes a $615 million cooperative agreement from the Centers for Medicare and Medicaid Services Rural Health Transformation Program (CFDA 93.798) awarded December 29, 2025, extending through October 30, 2030, supporting rural healthcare access and workforce development across Wyoming; a $1.16 billion Medicaid Entitlement block grant (CFDA 93.778) from the Centers for Medicaid and Chip Services for fiscal year 2026; a $1.62 million Community Mental Health Services Block Grant (CFDA 93.958) from the Substance Abuse and Mental Health Services Administration for FY 2026; a $4.09 million Community Services Block Grant (CFDA 93.569) from the Department of Health and Human Services Office of Community Services; and recurring WIC program grants totaling $9.6 million in combined allocations across food expenses, administrative expenses, EBT system modernization, and breastfeeding peer counselor services. The agency also holds formula grants from the Administration on Aging for supportive services, home-delivered meals, congregate meals, nutrition incentives, family caregiver support, and elder abuse prevention targeting seniors across Wyoming's rural and frontier geography, as well as project grants from the CDC for immunization, tuberculosis control, HIV prevention and surveillance, epidemiology and laboratory capacity, vaccine-preventable disease prevention, and behavioral risk factor surveillance.

Customer concentration skews heavily toward Health and Human Services operating divisions. The Centers for Medicare and Medicaid Services anchor 153 awards across Medicaid and CHIP entitlements; the Administration for Community Living (formerly Administration on Aging) holds 151 awards (91 plus 60 counted separately) spanning Title III and Title VII Older Americans Act programs; the CDC has 92 awards combined across health statistics, communicable disease, and emergency preparedness programs; and the Department of Agriculture Food and Nutrition Service manages 55 awards across WIC nutrition assistance. These five customer agencies account for approximately 40 percent of award volume. By potential value, the CDC Pittsburgh office and Social Security Administration concentrate the highest-value dollars—the CDC's vital statistics work carries $8.9 million in combined potential value through the $2.8 million Vital Statistics Cooperative Program IDC, while SSA's enumeration at birth and electronic death records contracts span $1.1 million combined potential value across multiple purchase orders. Medicaid and CHIP entitlements dwarf discretionary award values but are formula-based, creating a tension between award count (where Medicaid dominates) and discretionary funding (where CDC and HHS discretionary programs lead).

The agency's contract vehicle footprint is minimal. A single $2.8 million indefinite delivery contract with the CDC's National Center for Health Statistics (National Center for Health Statistics Vital Statistics Cooperative Program) established April 14, 2022, runs through April 30, 2027, and generates task orders at approximately $167,000 annually for vital statistics collection and transmission. Social Security Administration purchase orders for enumeration at birth and electronic death records operate under separate indefinite delivery contracts spanning fiscal years through 2029 with sub-$300,000 annual ceilings per order. Five IDCs and BOAs account for the top parent vehicles, with combined potential values under $1 million—insignificant relative to the grant footprint.

Activity has been flat to declining in raw award count over the past five years (38 awards in 2022, 42 in 2023, 76 in 2024, 39 in 2025, three through mid-2026). However, obligated dollars dwarf potential value—$20.03 billion in obligated dollars against $19.3 million in combined potential value across all 1,045 awards—a reflection of massive entitlement grant allocations (particularly Medicaid quarterly distributions, which cycle through multiple times per fiscal year) flowing to the state agency for pass-through to beneficiaries. Sixty-five awards carry ultimate completion dates within the next twenty-four months with combined potential value of $176 thousand, representing routine recompete exposure on small discretionary grants and task orders rather than material recompete cliff risk.

Sub-award footprint shows Wyoming Department of Health distributing federal funds as pass-through to local entities under several programs. The agency sub-awards portions of the Special Education-Grants for Infants and Families (CFDA 84.181) to regional early intervention service providers including county child development centers and nonprofit organizations across the state. Under the Older Americans Act Title III grants, the agency sub-awards to Area Agencies on Aging and local nonprofits for meal services and supportive services delivery—a $250,358 sub-award to Legal Aid of Wyoming for elder legal services exemplifies this model. The agency also receives inbound sub-awards from Wyoming's Family Services Department and Department of Education under TANF, SNAP, and IDEA funding streams, where Department of Health serves as a component within the broader state system. This sub-award activity (five percent of portfolio) reflects the agency's role as a state-level administering entity rather than a service delivery prime.

The category concentration shows Administration of Public Health Programs (69 awards) and Computing Infrastructure Providers and Data Processing services (39 awards) as top NAICS codes, reflecting the mix of public health grant administration and vital statistics data systems work. Support and administrative information retrieval (PSC code 31 awards) and data collection and management (PSC code 35 awards) are the predominant procurement service codes, consistent with the agency's stewardship of federal health data systems and grant administration infrastructure serving Wyoming's predominantly rural and frontier population.