VPA News
Gainwell Technologies: Provider Management Module Master Class Webinar
For those of you who are frustrated, confused, or otherwise not happy with Medicaid’s online provider system, this may be of interest: Gainwell Technologies would like to invite you to join our Provider Management Module (PMM) Master Class webinar on Tuesday, November...
Medicaid Banner: Rate Increase for Division of Substance Use Program Preferred Providers
For dates of service on or after August 1, 2022, providers who have been certified as Preferred Providers by the Division of Substance Use Programs (DSU) will receive a rate increase for specific codes. To find out if a provider is certified by DSU, visit...
BlueCross BlueShield of Vermont: Request for Updated Information
The federal Consolidated Appropriations Act requires that health plans and insurers verify the demographic information for providers every 90 days. BCBSVT has been sending emails requesting this update/verification to providers this year; you may get similar requests...
988 is Coming to Vermont
In 2020, Congress designated the new 988 dialing code to be operated through existing National Suicide Prevention Lifeline. This provides a universal entry point so that no matter where you live, you can reach a trained crisis counselor who can help. This is a step...
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
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
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 table.
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
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...
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...
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