Aug 22, 2024 | Medicaid
The Department of Vermont Health Access (DVHA) has created a “Psychotherapy and Other Psychiatric Services Supplement” to the General Provider Manual and the Medicaid General Billing and and Forms Manual. Information for psychotherapy providers was consolidated into this new supplemental manual in order to increase accessibility and clarity for providers; none of the information in the supplement is new and there are no new requirements.
This supplement describes processes to be followed by enrolled Vermont Medicaid providers who are serving Vermont Medicaid members with psychotherapy and other psychiatric services. The new document can be located at: https://dvha.vermont.gov/providers/manuals.
Please contact the Provider Services Unit at Gainwell Technologies at 1-800-925-1706 with any additional questions.
Aug 22, 2024 | Insurance & Reimbursement, Medicaid, News
DVHA has come up a final solution to the issue of providers getting no—or delayed—reimbursement due to the Change Healthcare cybersecurity incident earlier this year. You can read about what DVHA is going to do here: https://humanservices.vermont.gov/sites/ahsnew/files/documents/24-029-F-GCR-Change-Healthcare-Response.pdf
In short, DVHA (Vermont Medicaid) made payments to impacted providers based on
historical average claims. For the period February 21, 2024, through
June 30, 2024, Medicaid providers were eligible to receive payment “in amounts representative of up to 7 days of claims payments for Medicaid services” that were not otherwise paid because of the Change Healthcare cybersecurity incident. You can find more information about the payment provisions at the link sent by DVHA: https://humanservices.vermont.gov/sites/ahsnew/files/documents/24-029-Att-4.19-Introduction-draft.pdf
