Stay Informed and Protect Your Health.
Provider and Member Communication
- Uninsured Vermonters:
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. (3/31/2020)
- Provider Assistance:
- Postponement of Vermont Medicaid Fee Schedule Updates. (5/15/2020)
- COVID-19-specific Sustained Monthly Retainer Payments Cover Letter and Process. (The April application process is complete; the Monthly Retainer for May/June is now open as of 4/27/2020.)
- Online Opt-In Form for the Vermont Medicaid COVID-19-specific Sustained Monthly Retainer Program. (4/27/2020)
- Frequently Asked Questions (FAQs). COVID-19-specific Medicaid Retainer. (updated 5/21/2020)
- Notice of temporary Medicaid Long-Term Care Facilities rate restructure in response to the COVID-19 National Health Emergency. Additional information of extraordinary financial relief. (4/6/2020)
- Notice of temporary Private Non-Medical Institution rate restructure in response to declared COVID-19 National Health Emergency. Additional information of extraordinary financial relief. (4/6/2020)
- Telehealth, Telemedicine and Telephonic Coverage:
(For additional information visit the DVHA Telehealth webpage)
- Vermont Medicaid-participating providers are encouraged to continue the use of telemedicine for health care delivery when possible. Telehealth Resources.
- Vermont Medicaid Continuing Telemedicine Coverage for Dental Services & Temporary New Telephonic Coverage for Brief Communication Services for Dental Providers. (4/10/2020)
- Vermont Program for Quality in Health Care (VPQHC) State-Wide Telehealth Resource Page, Including Technical Assistance for Providers. (3/30/2020)
- Frequently Asked Questions. Vermont Medicaid Payments for Telephonic Services Furnished During the Emergency Response to COVID-19. (4/23/2020)
- Vermont Medicaid Payments for Telephonic Services Furnished During the Emergency Response to COVID-19. (4/23/2020)
- Telehealth, Telemedicine & Telephonic Coverage. Updated Guidance to Support Medicaid Providers During the Emergency Response to COVID 19. (3/20/2020)
- Please note as of March 24, 2020, Vermont Medicaid has corrected the reimbursement for telemedicine 02 place of service.
- Durable Medical Equipment:
- Clinical Information:
- Pharmacy Information:
- Extension of Prior Authorizations - Response to the COVID-19 Emergency. (effective 5/1/2020)
- Covid-19 Update. (effective 3/27/2020)
- Important Pharmacy Information in Response to COVID-19. (3/30/2020)
- COVID-19 - Retail Pharmacy Home Delivery Options. (last updated 4/3/2020)
- Eligibility and Enrollment: (updated 5/11/2020)
Vermont Health Connect website
In order to manage our COVID-19 response, our temporary call center hours for Member Services will be 8:00 AM to 4:30 PM, Monday through Friday. Due to the COVID-19 Emergency, Vermont is facilitating initial and continuous health care enrollment by:
- Temporarily waiving financial verifications required for those seeking to enroll in health insurance;
- Extending Medicaid coverage periods (meaning the Department is not processing the annual “reviews” that could result in loss of Medicaid) until after the emergency ends;
- Not ending Medicaid coverage during the Emergency period unless the customer requests it;
- See below for more information on how Vermont is implementing these changes for Long-Term Care Medicaid.
- Temporarily waiving Dr. Dynasaur premiums, beginning with the April bills for the premium due in May;
- 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 currently open through June 15, 2020.
- Long-Term Care Medicaid:
For Long-Term Care Medicaid, Vermont is:
- Accepting self-attestations for current income and resources from applicants for Long-Term Care Medicaid eligibility determinations and suspending transfer of asset rules (60 month look back period) during the Emergency;
- Extending the review period for Long-Term Care Medicaid members who had a review scheduled for March, April or May until the Emergency ends;
- Reviews are extended for all Long-Term Care Medicaid members scheduled for those three months whether or not they returned their review application;
- All Provider questions and concerns should be sent via EMAIL to the DVHA LTC Management Team at: AHS.DVHALTCMGMT@vermont.gov.