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Providing claims services and enrollment verification on
Health Insurance Plans Under Green Mountain Care
Green Mountain Care Plans includes Medicaid, Dr. Dynasaur, VPharm and Healthy Vermonters
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Welcome!

This site allows you to
  • Verify member enrollment in Green Mountain Care plans
  • Submit electronic claim files
  • View claim status
  • View remittance advice
  • Search for participating providers
Special Alert
Providers have been inconvenienced during the past couple of months by the inability to verify the eligibility of Medicaid and Dr. Dynasaur patients. Some members were unaware their coverage ended due to their failure to complete the renewal process.

(CMS) has given their approval for Department of Vermont Health Access (DVHA) to reinstate members who lost coverage in April, May and June.
  • Medicaid and Dr. Dynasaur members that closed for failure to renew their application will be retroactively reinstated to ensure continuous coverage. Please be advised that this will only apply to those who failed to renew and not any other closure reason. DVHA is striving to complete this by July 31st with the expectation that the provider will be able to verify correct eligibility shortly after that date.
  • If you received a denied claims for those affected member, please resubmit claims after August 1st
  • If a member paid out-of-pocket for a medical, dental service or medicine, the member may ask for reimbursement after coverage reinstatement.
  • Our mitigation plan includes extending member coverage dates while we examine why renewal rates were lower than normal in order to prevent this from happening in the future.

Please see the Provider Directory of Vermont Medicaid web portal services & resources. This directory contains links to all provider services & resources.The HP Enterprise Services Provider Services Unit is available to assist providers and billing personnel, Monday through Friday from 8:00am to 5:00am. Contact us toll-free in Vermont (800)925-1706; local and out-of-state (802) 878-7871.
GreenMountainCare.org For information on state-sponsored health insurance visit http://www.GreenMountainCare.org

Green Mountain Care is a family of low-cost and free health insurance plans offered by the State of Vermont.

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