Due to the COVID-19 Public Health Emergency, Vermont Medicaid is taking steps to ensure Vermonters have access to necessary care and that health care professionals can deliver that care in a safe and timely way.
Remove prior authorizations
Prior authorization requirements are waived for the following services with the exception for items with the potential to cause imminent harm:
- Imaging Services and Durable Medical Equipment and Supplies — including continuous glucose monitors obtained from a pharmacy
- Dental Services including orthodontia
Extend pre-existing prior authorizations
- DVHA has extended approved prior authorizations for certain clinical services set to exhaust in April for an additional six months. No additions or changes to services or units may be made. DVHA will continue to evaluate the need to extend prior authorizations for clinical services and drugs approved prior to the COVID-19 public health emergency.
- Prior authorizations remain in effect for items and services with the potential to cause imminent harm, out of network services, and elective procedures.
Listing of codes:
Imminent Harm Codes (4/30/2020)
Waived Prior Authorization Codes (9/21/2020)
Information can be found at:
AHS Global Commitment Register, policy GCR 20-039.