COVID-19

Stay Informed and Protect Your Health

Provider and Member Communication

The DVHA COVID-19 page contains important information about the Department’s actions in response to the COVID-19 Emergency. Some actions are required by the federal government due to the declaration of a federal public health emergency while other actions were taken by DVHA to help Vermonters access health care during this time. Thus, these actions may last for different lengths of time. This page will be updated when an activity ends, re-starts, or changes.

 

Vermont Medicaid has:

  • Eliminated co-payments for hospital outpatient services;

  • Eliminated co-payments for medications that may be used to treat the symptoms of COVID-19.

These changes ensure that no co-payments apply to COVID-19 testing, diagnosis, and treatment services.

Make a COVID-19 Vaccination Appointment

Vermont has enough COVID-19 vaccine appointments for everyone who is eligible. Visit the Vermont Department of Health website for more information and to make an appointment online. Or call 1-855-722-7878 to make an appointment by telephone and have your questions answered.


Click on a heading below to drop to that section further down on the page.

  • AHS Grant Programs (Front-Line Employees Hazard Pay, Health Care Provider Stabilization)
  • Federal Provider Relief

Uninsured Vermonters


Eligibility and Enrollment:

Vermont Health Connect website

Call center hours for Member Services are 8:00 AM to 4:30 PM, Monday through Friday.

During the COVID-19 federal public health emergency (different from the State of Emergency), Vermont is facilitating initial and continuous health care enrollment by:

  • Temporarily waiving financial verifications required for those seeking to enroll in Medicaid;
  • Extending Medicaid coverage periods (meaning the Department is not processing the annual “reviews” that could result in loss of Medicaid);
  • Not ending Medicaid coverage unless the customer requests it or moves out of state (Note that, as of January 2021, Vermont is processing transitions between Medicaid coverage groups as required by the federal government);
  • Temporarily waiving Dr. Dynasaur premiums;
  • Offering a Special Enrollment Period for those who do not currently have health insurance to enroll in a qualified health plan and receive premium and cost-sharing assistance, if eligible. (Eligible Vermonters can continue to apply for, and enroll in, Medicaid at any time). This Special Enrollment Period is open through October 1, 2021.

(updated 6/14/2021)


American Rescue Plan Act:

The American Rescue Plan Act has broad implications for the work of the Department of Vermont Health Access and will have a significant impact for many Vermonters. Please visit the webpage the Department has developed dedicated to FAQs regarding the American Rescue Plan Act: American Rescue Plan FAQ. The webpage will be updated with more information as it becomes available. (3/31/2021)


Clinical Information:

Health and Vaccine Updates:

(For all up-to-date health and vaccine updates regarding COVID-19, please visit the Vermont Department of Health website)

Health Updates

  • In our ongoing effort to help protect the health and safety of Vermonters, the Vermont Department of Health has additional information to help prevent COVID-19 transmission. Visit the Masks on Vermont campaign to learn more.
  • For additional FDA guidance about hand sanitizers, please visit the website FDA Updates on Hand Sanitizers with Methanol.

Vaccine Updates

  • Three COVID-19 vaccines have received emergency use authorization from the U.S. Food and Drug Administration. Visit the Vermont Department of Health's website for more information:
  • Effective March 15, 2021, Vermont Medicaid is updating COVID-19 vaccine administration rates to mirror Medicare. For current COVID-19 vaccine codes and rates, please visit the Global Commitment Register (GCR) Change to COVID-19 Vaccine Administration Rates. (4/2/2021)

Long-Term Care Medicaid:
  • Vermont temporarily accepted self-attestations for applicants for Long-Term Care Medicaid. For applications received on and after October 5, 2020, normal processes apply, including verification of income, resources, and review of the transfer of assets during the 60-month look back period. More time will be allowed to provide requested verification.  
  • The review period for Long-Term Care Medicaid members who had a review scheduled during the emergency period will be extended.
  • All Provider questions and concerns should be sent via EMAIL to the DVHA LTC Management Team at: AHS.DVHALTCMGMT@vermont.gov

Pharmacy Information:

Provider Assistance:

AHS Grant Agreements

  • Retroactive grant agreements sent to providers for financial awards from AHS under the early Retainer programs:
    • Any providers who received the COVID-19-specific Medicaid Retainer (April 2020), COVID-19 Sustained Monthly Retainer (in effect for the months of May, June, and July 2020), and COVID-19 Extraordinary Financial Relief for Nursing Homes and Private Non-Medical Institutions payment should have recently received a grant award following an initial memo from the Secretary of the Agency of Human Services on November 3, 2020. Grant agreements were subsequently sent to providers, beginning in the last week of November and continuing throughout the first couple of weeks in December.
    • If providers have questions, or have not received their grants, they should email: AHS.COVID19Financial@vermont.gov for support and assistance. (12/14/2020)

Federal Provider Relief

  • Federal Financial Relief for Medicaid Providers through the CARES Act. The U.S. Department of Health and Human Services (HHS) has released additional information regarding the CARES Act Provider Relief Fund.
    • On October 22, 2020, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the latest Provider Relief Fund (PRF) application period has been expanded to include provider applicants such as residential treatment facilities, chiropractors, and eye and vision providers that have not yet received Provider Relief Fund distributions. For more information, visit HHS Expands Relief Fund Eligibility and Updates Reporting Requirements.
    • On October 1, 2020, HHS announced $20 billion in new funding for providers.  Providers who have already received Provider Relief Fund payments are invited to apply for additional funding that considers financial losses and challenges in operating expenses caused by the novel coronavirus; providers who were previously ineligible and an expanded group of mental health providers may also be eligible for the Phase 3 General Distribution allocation. Providers may begin applying for funds on October 5, 2020; providers have through November 6, 2020 to apply for Phase 3 General Distribution funding. (10/7/2020)
  • Federal Public Health Emergency Determination Renewed: Effective July 20, 2021, the determination that a federal public health emergency exists is renewed and will be in effect 90 days. (7/22/2021)

Provider Billing Information:
  • ​Supplies that are incidental to a provider’s practice may not be billed separately to Vermont Medicaid nor to Medicaid members. Specifically, the cost of personal protective equipment (PPE) is not eligible for Medicaid reimbursement and any costs associated with the purchase of PPE may not be charged to Medicaid members. Providers are required to submit claims for all Medicaid covered services and may not request payment from a Medicaid enrolled individual at the time of service; Vermont Medicaid cannot reimburse Medicaid members. To ensure access to care for Vermont Medicaid members, the Agency of Human Services offered financial opportunities for providers to receive stabilization funds for lost revenue and COVID-19-specific incurred expenses. (12/21/2020)

Telehealth, Telemedicine and Telephonic Coverage:
(For additional information visit the DVHA Telehealth webpage)

(updated 3/29/2021)


Uninsured Vermonters:
  • Special Enrollment Period for Uninsured Vermonters (full Press Release):
    • The State of Vermont will be offering a COVID-19 Special Enrollment Period* from February 16, 2021 to May 14, 2021 for those who do not currently have health insurance to enroll in a qualified health plan and receive premium and cost-sharing assistance, if eligible. 
      *Please note: Enrollment in this specific special enrollment period must occur through the State’s Customer Support Center at 1-855-899-9600 and cannot happen online.  The Customer Support Center is open Monday-Friday from 8:00am to 4:30pm and will be closed on State and Federal holidays. 
    • Eligible Vermonters can continue to apply for, and enroll in, Medicaid at any time.  

(udpated 02/10/2021)


 

Department of Vermont Health Access

280 State Drive
Waterbury, Vermont 05671-1010
Phone: 802-879-5900
Fax: 802-241-0260

Department Contact List for customer service, program telephone and fax numbers, and staff email

Hours of Operation: Monday-Friday (Excluding Holidays) 7:45am - 4:30pm

Public Record Requests
Kelly Provost
DVHA Public Records Officer
AHS.DVHALegal@Vermont.gov
Visit the Agency of Administration site for the Public Records Database

Report Medicaid Fraud, Waste, and Abuse