Wyoming applies a 60-month look-back whenever an institutionalized person, or their spouse, disposed of an asset for less than its fair market value. The way the statute measures that window is worth understanding precisely: the review covers transfers made within the 60 months before, or at any point after, the first date on which the person has both applied for medical assistance and become institutionalized. This isn't a tax on gifting — it's a mechanism that can create a period during which Medicaid won't cover long-term-care costs, even if the person otherwise meets every other eligibility requirement.
Wyoming's Chapter 18 rule also builds in a presumption that works against the applicant by default: any transfer made for less than fair market value is presumed to have been made to qualify for Medicaid, unless convincing evidence shows the transfer was made exclusively for some other purpose. That presumption is exactly why documentation matters so much here — an appraisal, a purchase agreement, proof that services were actually rendered, payment records, and a clear timeline can carry real weight, often more than a family's informal explanation of what happened and why.