Medicaid appeals in Vermont: hearing deadline and keeping benefits
Green Mountain Care (Vermont Medicaid and Dr. Dynasaur): you have 90 days to ask for a fair hearing.
When you appeal, say that you want "continuing benefits." For Medicaid or Dr. Dynasaur you must appeal before the date your coverage ends or the date your payment changes.
Checked against official sources: October 30, 2026.
Appeal deadlines are strict. If you are near a deadline or your care is urgent, call free help today.
Medicaid (Green Mountain Care (Vermont Medicaid and Dr. Dynasaur)) denials in Vermont
- Medicaid agency
Department of Vermont Health Access (DVHA), Agency of Human Services
- Who holds the hearing
Vermont Human Services Board
- Hearing deadline
90 days
The date of the decision
- How to ask for a hearing
- Online: Log in to your Vermont Health Connect online account and click My Requests, or file online with the Human Services Board at hsb.my.vermont.gov
- Phone: Vermont Health Connect Customer Support 1-855-899-9600 or Green Mountain Care 1-800-250-8427
- Mail: Human Services Board, 6 Baldwin Street, Suite 305, Montpelier, VT 05633-4301
- Online: Email AHS.DVHAHealthCareAppealsTeam@vermont.gov with "Appeal" as the subject
- Mail address
Human Services Board, 6 Baldwin Street, Suite 305, Montpelier, VT 05633-4301
- Keeping your benefits during the appeal
When you appeal, say that you want "continuing benefits." For Medicaid or Dr. Dynasaur you must appeal before the date your coverage ends or the date your payment changes. If you lose, you may have to pay back the cost of care you got that you did not qualify for.
- When the hearing is held
After you appeal, the Human Services Board sends you a letter about next steps. The appeal must be decided within 90 days in most cases.
- Faster (expedited) hearing
If waiting would hurt you, ask for a fast (expedited) appeal the same ways you file. Most expedited appeals are decided within 7 working days; Medicaid for people who are aged, blind or disabled and long-term care appeals may take longer.
Medicaid health plan (managed care) in Vermont
- Appeal to the plan first
For a denied, reduced or ended Medicaid service (such as a procedure, prescription or equipment), first ask the department that made the decision for an internal appeal within 60 calendar days of the decision, using the Request for Internal Appeal form, by phone or by mail to the Health Care Appeals Team, Department of Vermont Health Access, 150 Pilgrim Park, Waterbury, VT 05676. If your services are ending or being reduced, ask that they continue during the appeal. DVHA decides within 30 days (it can take 14 more days if that helps you or you ask). If you lose, you have 120 days from the date on the decision letter to ask the Human Services Board for a fair hearing. After an expedited internal appeal you can ask for a fast fair hearing.
- Then a state hearing
120 days
The date on the letter telling you the internal appeal decision
- If the plan is late
If DVHA misses its deadline to decide your internal appeal, you do not have to keep waiting and can ask for a fair hearing.
Law: 42 CFR 438.402, 438.408
Write my appeal: free letters
Sources
The official sources for Vermont are listed on the Vermont page.