Vermont Anchor Provider Agreement
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How to fill out Anchor Provider Agreement?
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FAQ
Please save all completed forms for your records. After filling in the required information, save the document, print the form and mail it to Gainwell Technologies, PO Box 888, Williston, VT 05495. This form should be used when requesting a reconsideration of a timely filing denial for one (1) claim.
Green Mountain Care is a member website for Vermonters who have Medicaid or Dr. Dynasaur.
At or below $29,160 a year for a single person. At or below $39,440 a year for a couple. At or below $60,000 a year for a family of four.
The Department of Vermont Health Access (DVHA), within the State of Vermont's Agency of Human Services, is responsible for administering the Vermont Medicaid health insurance program and Vermont's state-based exchange for health insurance.
Please call the Customer Support Center at 1-800-250-8427 if you have questions about your coverage.
Medicaid for Children & Adults (MCA) includes the Dr. Dynasaur program. These programs are run by Vermont Health Connect, and offer free, or low-cost, health coverage for eligible Vermonters. Eligibility for MCA is based on family size and household income.
