Rules
AHS Health Care Administrative Rules.
The Agency of Human Services is undertaking a comprehensive revision of Medicaid rules across the Agency of Human Services and its Departments. The Medicaid Covered Services Rules above will be amended and adopted under the title of Health Care Administrative Rules (HCAR). This is a multi-year process, and during this transition phase, some Medicaid rules will remain in the Medicaid Covered Services Rules (7100 - 7700), while other rules will be adopted in the new HCAR collection of Medicaid rules.
Manuals
Applied Behavior Analysis and Mental Health Services. Provider manual with billing instructions for mental health providers.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies
Dental Supplement. Provider Manual with billing instructions related to the dental claim.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies
Fee Schedules. Fee Schedule of CPT/HCPCS Codes.
Archived Provider Manual. The Provider Manual has been merged with the following Supplements: UB04, CMS1500 and Prior Authorization on 10-1-2012. The Detailed Summary of Updates has been removed from this document.
Archived Appendix to the Provider Manual. This is a companion document to the Archived Provider Manual, it contains: Addresses & Contact Numbers, Glossary of Terms & Phrases, Abbreviations, Voice Response System (VRS), Sample Remittance Advice, Listing of Forms & Manuals, Insurance Coverage Matrix and the Julian Date Calendar.
Durable Medical Equipment Supplement. Provider Manual with billing instructions related to DME supplies.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies
Federally Qualified Health Centers and Rural Health Clinics. Provider Manual with billing instructions for FQHC and RHC providers.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies
General Billing and Forms Manual. Provider Manual with billing instructions for all providers.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies
General Provider Manual. Provider Manual with billing instructions for all providers.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies
Home Health Agency, Assistive Community Care and Enhanced Residential Care. Provider Manual with billing instructions for HHA, ACC and ERC providers.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies
Primary Care Provider Manual. Provider Manual with billing instructions for Primary Care Providers.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies
Pharmacy Provider Manual. Provider Manual with billing instructions related to pharmacy claims.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies
Physical Therapy, Occupational Therapy and Speech Language Therapy. Provider Manual with billing instructions for PT, OT and ST providers.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies
Non-Emergency Medical Transportation Manual. Provider Manual with billing instructions related to NEMT.
For Agency of Human Services Rules visit https://humanservices.vermont.gov/rules-policies