Federal Poverty Level (FPL) who do not have significant behavioral health needs. For those in this group who do not already have insurance, heavily subsidized insurance is likely available through the federal marketplace.There are also changes to provider payments. “We’re moving from block grants to a mix of block grants, service payments and outcome payments,” Fuchs said.“The hope for many involved in this redesign effort is that focusing the state’s resources on high-needs clients may eventually lead to cost-savings and reduced pressure on other elements of Wyoming’s behavioral health system such as frustrating waiting lists,” Fuchs said. “If we can reduce repeated hospitalizations or divert people from institutional settings in the first place, that’s a win for both clients and for our state facilities.”Matt Petry, Behavioral Health Division senior administrator with WDH, said, “We are making big changes and we certainly recognize that change isn’t always easy.