If you disagree with a decision then you can file an internal Appeal:
- You may ask the Department who made the decision to review that decision.
- It must be within 60 calendars days from the decision.
- If you have been told your benefits or services are going to end or be reduced, you must ask that they continue during your appeal.
- If you get benefits or services during your appeal and the appeal is not decided in your favor, you may have to pay for them.
Contact:
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You can call the Vermont Health Connect, Green Mountain Care Customer Support Center at 1-800-250-8427 (TDD/TTY) 1-888-834-7898.
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You can submit the following online forms:
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Request for Appeal of Medicaid Eligibility Denial
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Request for Internal Appeal of Medicaid Service Denial or Change in Service
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You can mail a letter to:
Health Care Appeals Team
Department of Vermont Health Access
150 Pilgrim Park
Waterbury, VT 05676
You asked for an internal Appeal:
- Click here for what you need to know about internal appeals.
Was your internal appeal denied? You can file a Fair Hearing:
To file a Fair Hearing:
- You can call the Vermont Health Connect, Green Mountain Care Customer Support Center at 1-800-250-8427 (TDD/TTY) 1-888-834-7898.
- You can mail a letter to:
Human Services Board
14-16 Baldwin Street, 2nd floor
Montpelier, VT 05633-4301
If you want to file a Grievance:
- You may file a greivance if you have a complaint about something other than an action.
- If you can't work out your differences with a provider, you may file a greivance.
- The Department will send you a letter within 90 days about how they can address the issue.
Contact:
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You can call the Vermont Health Connect, Green Mountain Care Customer Support Center at 1-800-250-8427 (TDD/TTY) 1-888-834-7898.
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You can email AHS.DVHAHealthCareAppealsTeam@vermont.gov
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You can mail a letter to:
Human Services Board
14-16 Baldwin Street, 2nd floor
Montpelier, VT 05633-4301