Medicaid Excluded Providers

This list may not be considered comprehensive of all providers excluded from participation in the Vermont Medicaid program; action by other federal or state entities may also result in exclusion. The providers identified herein are those that have been excluded by the Vermont Department of Health Access and the Agency of Human Services. This list may or may not include providers excluded as a result of action taken by other federal or state entities.

State Excluded Provider List

In order to be considered for removal from the list and/or reactivation as a Vermont Medicaid provider. Please submit consideration to:

Member and Provider Services
Department of Vermont Health Access
280 State Drive, NOB 1 South
Waterbury, VT 05671-1010

The Affordable Care Act requires that all ordering physicians or other professionals who prescribe, order, or refer services to Medicaid or provide services under the State Plan or under a waiver of the plan to be enrolled as participating providers (see 42 CFR 455.410(b)).  Therefore, any non-enrolled provider, including any provider who is terminated from the Medicaid Program, for any reason, is not permitted to provide services to Medicaid recipients.

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