Updated Reconsider Request Forms

Updated Reconsider Request Forms

Providers submitting reconsideration requests to Gainwell Technologies should use the new form that is now located on the Vermont Medicaid website (http://www.vtmedicaid.com/#/forms). This form is to be used for non-timely filing reconsideration requests only; there...
Latest PERM Audit Update

Latest PERM Audit Update

The Payment Error Rate Measurement (PERM) audit has commenced and will examine sampled claims from July 1, 2021, through June 30, 2022. Providers with a sampled claim will receive a medical record request letter from NCI Information Systems, Inc., and are required to...
Updated Medicaid Rate Schedule

Updated Medicaid Rate Schedule

If you’re looking for the new Medicaid rate schedule, you can find it here: http://www.vtmedicaid.com/#/feeSchedule. Click on the green “Open Menu” button in the upper left part of the page, and you can search by CPT code in the blank box at the top of the...
Latest RxP Update

Latest RxP Update

From Dr. Rick Barnett: Hello Div55ers and VPA Members, Here is a brief update on Vermont’s RxP effort, with a longer description coming next week (after I meet with the lobbyist). I spoke with the Office of Professional Regulation today who spear-headed a...
Notes from Vermont Medicaid

Notes from Vermont Medicaid

Switching SSN to FEIN for Enrollment Type “Individual” Vermont Medicaid does not require that providers switch their enrollment from SSN to EIN, but many providers are choosing to make this change. If you are an Individual Provider choosing to switch your enrollment...