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Clinical Trials

The Consolidated Appropriations Act of 2021 adds a mandatory Medicaid benefit at 1905(a)(30) of the Social Security Act for coverage of routine patient costs for services provided to a Vermont Medicaid member participating in a qualified clinical trial.

Vermont Medicaid has always provided coverage for covered services related to clinical trials.  The item or service that is under investigation remains non-covered. Submission of the Clinical Medicaid Attestation Form below is required. If transportation is necessary for the member to get to the clinical trial, submission of the Non-Emergency Medical Transportation (NEMT) Physician Referral Form is required (see below).