COVID-19

Stay Informed and Protect Your Health.
 

Information and Guidance
  • For up-to-date guidance regarding COVID-19, Vermonters can check the Vermont Department of Health webpage.
  • Vermonters can also dial 2-1-1 for information or if you have questions.
  • Visit the CDC webpage for regular updates and guidance.

Provider and Member Communication
  • Provider Assistance:
  • Telehealth, Telemedicine and Telephonic Coverage:
  • Pharmacy:
  • Eligibility:
    • Due to the COVID-19 emergency, Vermont will be temporarily waiving financial verifications required for those seeking to enroll in health insurance; Extending out coverage periods until after the emergency ends; Suspending certain terminations of health insurance; Offering a Special Enrollment Period (1 month) 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.) (3/20/2020)
  • Out-of-Pocket Expenses:
  • LTC Medicaid Cases:
    • Extended review period for nursing facilities, adult day centers, ERC's, and home health agencies. The DVHA is extending the review period for active LTC Medicaid cases which are scheduled for a review in March, April or May 2020. The reviews are now rescheduled as follows: March 2020 reviews extended to June 30, 2020; April 2020 reviews extended to July 31, 2020; and the May 2020 reviews extended to August 31, 2020. The DVHA is extending the review period for those three months for all active LTC Medicaid cases whether or not the client returned their LTC review application.  All Provider questions and concerns should be sent via EMAIL to the DVHA LTC Management Team at: AHS.DVHALTCMGMT@vermont.gov. (3/23/2020)

  • Additional Provider Billing:

  • Provider Audit Information:

    • HEDIS hybrid record retrieval started on March 4, 2020. Cotiviti is the medical record retrieval contractor for VT Medicaid. Providers are required to participate (at no cost) as stated in your signed Provider Enrollment Agreement: During the State of Vermont State of Emergency for COVID-19. The Department of Vermont Health Access (DVHA) will not enforce a 10% withholding of all VT Medicaid payments for providers that do not submit the required medical records within five (5) business days. We encourage you to submit records timely. It is imperative that we obtain medical records in order to complete the HEDIS measures. If you have questions regarding submission of Medical records, please outreach Clark.Eaton@vermont.gov or 802-241-9313. (3/30/2020)

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
AHS.DVHALegal@Vermont.gov
Visit the Agency of Administration site for the Public Records Database

Report Medicaid Fraud, Waste, and Abuse