Department Of Health Wyoming

Department Of Health Wyoming, a U.S. state government entity headquartered in Cheyenne, operates as a prime recipient of federal health entitlements, block grants, formula grants, cooperative agreements, and vital statistics contracts—approximately 95% of its footprint as a direct federal grant recipient rather than a contractor. The agency administers and sub-awards federal public health, nutrition, aging, substance use disorder treatment, and mental health funding across Wyoming's 23 counties and two tribal nations, with a combined federal footprint of roughly $21.13 billion obligated across 1,054 awards spanning three decades.

The agency's federal portfolio concentrates on four customer agencies and programs. The Centers for Medicare and Medicaid Services (CMS) leads by award count with 153 Medicaid and Children's Health Insurance Program entitlement allocations, followed by the Administration for Community Living with 151 awards across Older Americans Act programs (nutrition services, supportive services, family caregiver support, ombudsman, and elder abuse prevention). The CDC, primarily through its Pittsburgh field office, holds 59 awards worth $12 thousand in combined potential value but anchors 36 awards valued at $8.9 million focused on vital statistics collection and transmission, disease surveillance, immunization, HIV prevention, tuberculosis control, emergency preparedness, maternal health, and injury prevention. The Social Security Administration accounts for 21 awards worth $1.1 million supporting enumeration at birth, race and ethnicity records services, and electronic death records. The Department of Agriculture Food and Nutrition Service manages 55 awards—primarily WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) formula grants for food expenses, administrative costs, breastfeeding peer counselor services, and EBT system modernization.

Wyoming's federal contract footprint is minimal by comparison. The agency holds a single $2.8 million indefinite delivery contract with CDC's National Center for Health Statistics for the Vital Statistics Cooperative Program (VSCP), under which task orders (typically around $167,000 annually) fund collection and transmission of birth and death certificate data through April 2027. A small volume of Social Security Administration purchase orders ($235 thousand to $261 thousand each) support enumeration and electronic death records services extending through 2028 and 2029, tied to executive order 14398 (National Defense Industrial Capabilities) activities. These contracts carry no set-aside designations and are awarded full-and-open.

Wyoming's grant portfolio is dominated by formula awards distributed by statute—Medicaid entitlements (Titles XIX and XXI) representing multi-billion-dollar allocations, Older Americans Act Title III and VII programs ($4.7 million to $8.3 million annually for congregate meals, home-delivered meals, supportive services, and ombudsman functions), and WIC allocations totaling roughly $9.6 million across food, administrative, and infrastructure components. Cooperative agreements with CDC and SAMHSA fund disease prevention, surveillance, and treatment infrastructure: the $615 million Rural Health Transformation Program cooperative agreement with CMS (running through October 2030) addresses rural access to emergency care, primary care with integrated behavioral health, workforce pipeline development, metabolic and cardiovascular health outcomes, and telemedicine; a $14.5 million SAMHSA Substance Abuse Prevention, Treatment, and Recovery Services Block Grant; a $2.9 million Community Mental Health Services Block Grant; and smaller project grants for HIV/AIDS prevention, tuberculosis control, behavioral risk factor surveillance, epidemiology and laboratory capacity, maternal mortality review, and perinatal quality improvement. The agency also receives federal grant funds from USDA for WIC modernization and EBT system enhancements ($1.6 million, through September 2028), HHS for pediatric mental health care access expansion (ARPA), early intervention services for infants and toddlers with disabilities (Special Education Part C, $2.587 million annually through September 2027), personal responsibility education, loan repayment for rural health professionals, and HUD for Housing Opportunities for Persons with AIDS.

The agency sub-awards portions of its federal allocations to Area Agencies on Aging, child development centers, nonprofits, and community action agencies across Wyoming. Representative recent sub-awards include $250 thousand to Legal Aid of Wyoming for elder legal services and sub-awards to Recover Wyoming for housing support and recovery services for individuals with concurrent mental health and substance use disorders.

Activity has accelerated in recent years—38 awards in 2022 to 77 in 2024, with slower pace in 2025 and 2026 reflecting the snapshot nature of recent months. Awards completing in the next twenty-four months carry $180 thousand in combined potential value, primarily formula entitlements subject to annual reallocation by federal statute rather than competitive recompete risk. The agency's primary posture is as a mandatory state grant administrator under block grant and formula programs (Medicaid, CHIP, Older Americans Act, WIC, SAMHSA substance abuse and mental health block grants, and public health emergency preparedness), with limited contract exposure concentrated in vital statistics collection and enumeration services to CDC and Social Security Administration.