Vermont Medicaid General Provider Agreement

Thank you for your interest in becoming a Green Mountain.size> To apply for coverage for members under the age of 21, a Medicaid-registered provider should apply for prior authorization. Advance authorization forms are available here: dvha.vermont.gov/forproviders/clinical-prior-authorization-forms. If you are already registered as a green Mountain Care provider and want to change or update your existing information, you can select Connect to the vendor portal. Keep in mind that your login information was provided during the registration process. The website is available to Vermont Medicaid providers and stakeholders. The use of Vermont`s secure websites is limited to authorized users. The user`s activity is monitored and recorded by system staff. Anyone who uses this site expressly agrees with this monitoring and registration. BE ADVISED: When potential criminal activities are identified, system records, as well as specific personal information, may be made available to law enforcement agencies. Despite our best intentions to obtain complete and accurate information, anomalies can sometimes occur and the content of the website may not be consistent or up to date with current program guidelines. If in doubt, please contact Provider Services at 802-878-7871. PHI (Protected Health Information) DisclaimerReminder Restriction: Only authorized users are allowed to use this network. PHI should not be shared in this module.

When you download attachments, make sure not all files contain PHI. BE ADVISED: Users are solely responsible for the applicable compliance with the DVHA vendor agreement with respect to the confidentiality of members` information and compliance with federal and regional laws governing privacy and security data, including PHIs. The website is available to Vermont Medicaid providers and stakeholders. The use of Vermont`s secure websites is limited to authorized users. The user`s activity is monitored and recorded by system staff. Anyone who uses this site expressly agrees with this monitoring and registration. BE ADVISED: When potential criminal activities are identified, system records, as well as specific personal information, may be made available to law enforcement agencies. Like most sites, HPP can use the so-called “cookie” technology. A “cookie” is an item of data that a website can send to your browser when you link to that site. It`s not a computer program and it has no way to read data on your computer or tell it to perform a step or function.