Provider Resources and Clinical Programs

DVHA strives to ensure that the provider network is adequate to deliver the right care; at the right
time to prevent Vermonters from traveling too far and to maximize member choice of provider. This
is true for members within the Accountable Care Organization, and the remaining managed Medicaid
population. Vermonters have a variety of health care needs and require a network of providers that
can address all those needs and deliver all the covered services.

DVHA recognizes that regularly visiting a primary care provider (PCP) is beneficial for health and
wellness, management of chronic disease and the reduction of overall health care costs.

Beyond ensuring that the provider network meets State and Federal requirements, DVHA must act
as a gatekeeper to safeguard vulnerable Vermonters and mitigate the financial risk of fraud and abuse.
DVHA conducts training and outreach to help providers understand how to properly bill so that they
can get paid promptly. Training and outreach efforts also help both members and providers stay upto-
date with changes to programs.

Forms and Clinical Criteria

Department of Vermont Health Access

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

Department Contact List for customer service, program telephone and fax numbers, and staff email

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