Stay Informed and Protect Your Health.

Provider and Member Communication

  • Cost-Sharing:
    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)

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:

Department of Vermont Health Access

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

Contact List for staff email, telephone & fax numbers

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

Public Record Requests
Kelly Provost
DVHA Public Records Officer
Visit the Agency of Administration site for the Public Records Database

Report Medicaid Fraud, Waste, and Abuse