Members

If you disagree with a decision then you can file an internal Appeal:

• You may ask the Department who made the decision to review that decision.
• It must be within 60 calendars days from the decision.
• If you have been told your benefits or services are going to end or be reduced, you must ask that they continue during your appeal.
• If you get benefits or services during your appeal and the appeal is not decided in your favor, you may have to pay for them.

Contact: 

• You can call the Vermont Health Connect, Green Mountain Care Customer Support Center at 1-800-250-8427 (TDD/TTY) 1-888-834-7898.

• You can submit the following online forms:

  • Request for Appeal of Medicaid Eligibility Denial

  • Request for Internal Appeal of Medicaid Service Denial or Change in Service 

• You can mail a letter to: 

  Health Care Appeals Team 
  Department of Vermont Health Access
  150 Pilgrim Park
  Waterbury, VT 05676

You asked for an internal Appeal: 

• Click here for what you need to know about internal appeals.

​Was your internal appeal denied? You can file a Fair Hearing: 

To file a Fair Hearing:

• You can call the Vermont Health Connect, Green Mountain Care Customer Support Center at 1-800-250-8427 (TDD/TTY) 1-888-834-7898.
   
• You can mail a letter to:

  ​Human Services Board
  14-16 Baldwin Street, 2nd floor
  ​Montpelier, VT 05633-4301 

If you want to file a Grievance:

• You may file a greivance if you have a complaint about something other than an action. 
• If you can't work out your differences with a provider, you may file a greivance.
• The Department will send you a letter within 90 days about how they can address the issue.

Contact:

• You can call the Vermont Health Connect, Green Mountain Care Customer Support Center at 1-800-250-8427 (TDD/TTY) 1-888-834-7898.

• You can email AHS.DVHAHealthCareAppealsTeam@vermont.gov

• You can mail a letter to:

  ​Human Services Board
  14-16 Baldwin Street, 2nd floor
  ​Montpelier, VT 05633-4301