# Vermont Medicaid Enrollment: 2026 Off Cycle Revalidation > Vermont Medicaid enrollment in 2026: off cycle revalidation for about 300 providers, supervisee enrollment for behavioral health, and 90 day retro dates. Source: https://webillhealth.com/vermont-medicaid-provider-enrollment/ Publisher: WeBill Health Last updated: November 4, 2026 Vermont Medicaid ## Vermont Medicaid, revalidated on time An active Vermont Medicaid enrollment, an off cycle revalidation finished by its due date, and claims that stay paid. [Request a Revenue Defense Audit](https://webillhealth.com/revenue-defense-audit/request/) Vermont is revalidating its high risk providers and a group of moderate risk ones off cycle, with notices through early 2027 and a plan that runs to June 5, 2028. A provider that misses its due date loses its enrollment. The Department of Vermont Health Access runs Vermont Medicaid and posts the plan on its [Medicaid provider revalidation strategy page](https://dvha.vermont.gov/providers/medicaid-provider-revalidation-strategy). * Off cycle revalidation About 300 high risk and selected moderate risk providers are being revalidated off cycle, with notices 90 and 45 days before the due date. [Vermont DVHA, Medicaid provider revalidation strategy](https://dvha.vermont.gov/providers/medicaid-provider-revalidation-strategy) * Missed due date The Vermont Medicaid enrollment is terminated, and reinstatement takes a new enrollment application. [Vermont DVHA, Medicaid provider revalidation strategy](https://dvha.vermont.gov/providers/medicaid-provider-revalidation-strategy) * Supervisees Since January 1, 2026, every supervisee under behavioral health supervised billing must be enrolled with Vermont Medicaid. [Vermont DVHA, supervised billing](https://dvha.vermont.gov/providers/supervised-billing) * Retroactive start From June 1, 2026, a new enrollment can request an effective date up to 90 days back, with no separate form. [Vermont Medicaid General Provider Manual, October 2026](https://vtmedicaid.com/assets/manuals/GeneralProviderManual.pdf) * Ordering and referring Ordering, prescribing, referring and attending providers and residents must be enrolled as participating providers. [Vermont Medicaid General Provider Manual, October 2026](https://vtmedicaid.com/assets/manuals/GeneralProviderManual.pdf) * What we see in practice 45 to 90 days from submission to an active Medicaid ID. ## In the official words > Providers who fail to submit and complete their revalidation by the due date will have their Vermont Medicaid enrollment terminated. [Department of Vermont Health Access](https://dvha.vermont.gov/providers/medicaid-provider-revalidation-strategy) > Once terminated, reinstatement will require the submission and approval of a new Medicaid enrollment application. [Department of Vermont Health Access](https://dvha.vermont.gov/providers/medicaid-provider-revalidation-strategy) ## Vermont is revalidating high risk providers off cycle In response to a federal request, Vermont Medicaid is running an off cycle revalidation of the providers it rates high risk and a subset of those it rates moderate risk, about 300 providers in all. Gainwell Technologies contacts each affected provider. [Vermont DVHA, Medicaid provider revalidation strategy](https://dvha.vermont.gov/providers/medicaid-provider-revalidation-strategy) The June 2026 strategy counts about 150 high risk service locations: nursing facilities, home health agencies, hospice providers and DMEPOS vendors, plus any provider raised to high risk over a credible allegation of fraud, waste or abuse. The first group’s 90 day notices were set for July 1, 2026 and the second group’s for August 1, 2026, and the state expected to finish this group by December 31, 2026. [Vermont Medicaid two year provider revalidation strategy, June 2026](https://dvha.vermont.gov/sites/dvha/files/documents/Combined-Provider-Revalidation-20260604.pdf) About 140 moderate risk service locations come next, with notices scheduled for January 1, February 1 and March 1, 2027. This group is nursing facilities, home health agencies, hospices and DMEPOS vendors whose risk level dropped at an earlier revalidation, and it leaves out providers revalidated in the preceding 12 months. The strategy says all off cycle revalidations will be completed by June 5, 2028, and that Vermont will limit new DMEPOS supplier enrollment to entities already enrolled with Medicare. [Vermont Medicaid two year provider revalidation strategy, June 2026](https://dvha.vermont.gov/sites/dvha/files/documents/Combined-Provider-Revalidation-20260604.pdf) These waves sit on top of the regular cycle. Federal rules require every provider to be revalidated at least every 5 years. [42 CFR 455.414](https://www.ecfr.gov/api/versioner/v1/full/2026-10-29/title-42.xml?part=455§ion=455.414) ## How enrollment works, step by step 1. Enroll every clinician whose name goes on a claim. Ordering, prescribing, referring and attending providers and residents must be enrolled as participating Vermont Medicaid providers. [Vermont Medicaid General Provider Manual, October 2026](https://vtmedicaid.com/assets/manuals/GeneralProviderManual.pdf) 2. Sign the provider agreement in ink. Stamped, faxed or copied signatures are not accepted, and an application with signatures that are not original is not processed. [Vermont Medicaid General Provider Manual, October 2026](https://vtmedicaid.com/assets/manuals/GeneralProviderManual.pdf) 3. If care started before the application, ask for the earlier date on the application itself. Since June 1, 2026, a new enrollment or reenrollment can request an effective date up to 90 days before the complete application is received and accepted, and screenings, credentials and documents must cover that whole period. [Vermont Medicaid General Provider Manual, October 2026](https://vtmedicaid.com/assets/manuals/GeneralProviderManual.pdf) 4. For a date 90 to 180 days back, an actively enrolled provider sends a Retroactive Enrollment Request Form within 90 days of the enrollment approval. An approved retroactive date still does not guarantee payment for that period. [Vermont Medicaid General Provider Manual, October 2026](https://vtmedicaid.com/assets/manuals/GeneralProviderManual.pdf) Vermont makes no payment until a provider number is assigned and rejects an enrollment when mandatory information is missing [Vermont Medicaid General Provider Manual, October 2026](https://vtmedicaid.com/assets/manuals/GeneralProviderManual.pdf), so a Vermont application sits on our calendar at 45 to 90 days from submission to an active Medicaid ID. ## Behavioral health supervisees now enroll in their own name The Department of Vermont Health Access updated its supervised billing rule for behavioral health, HCAR 9.103, effective January 1, 2026. Under the new version all supervisees must enroll with Vermont Medicaid, and enrollment for supervisees opened on October 1, 2025. [Vermont DVHA, supervised billing](https://dvha.vermont.gov/providers/supervised-billing) A supervisee enrolls under the provider type that matches the license being worked toward. On the claim the supervisor is the billing provider and the supervisee is the rendering provider. [Vermont Medicaid Supervised Billing Manual, 2026](https://vtmedicaid.com/assets/manuals/2026SupervisedBillingManual.pdf) Two cases do not pay. Services by a provider who is licensed but not enrolled with Vermont Medicaid cannot be billed under supervised billing, and for a supervisee who has applied for a license and is waiting on it, DVHA expects the practice to hold claims until licensure is approved. [Vermont Medicaid Supervised Billing Manual, 2026](https://vtmedicaid.com/assets/manuals/2026SupervisedBillingManual.pdf) ## Where Vermont enrollments lose money The state’s provider management system inactivates and disenrolls a provider that does not finish revalidation within 30 days of its due date. In calendar year 2025, 828 provider service locations were terminated for late revalidation. [Vermont Medicaid two year provider revalidation strategy, June 2026](https://dvha.vermont.gov/sites/dvha/files/documents/Combined-Provider-Revalidation-20260604.pdf) The cost reaches backward. A provider that revalidates late faces disenrollment and claim recoupments back to the date of disenrollment, and coming back takes a new application with full screening. [Vermont Medicaid two year provider revalidation strategy, June 2026](https://dvha.vermont.gov/sites/dvha/files/documents/Combined-Provider-Revalidation-20260604.pdf) An enrollment that goes quiet closes as well. The system disenrolls providers after three years without claims, and in 2025 that removed 1,518 provider service locations. [Vermont Medicaid two year provider revalidation strategy, June 2026](https://dvha.vermont.gov/sites/dvha/files/documents/Combined-Provider-Revalidation-20260604.pdf) ## Check where you stand before you submit WeBill Health runs Revenue Velocity Credentialing with 24/7 CAQH and PECOS lifecycle monitoring, so revalidation dates and affiliation gaps are caught before they become suspended claims. Every file gets Human Expert Review from a credentialing specialist before it goes to the Department of Vermont Health Access. ## Sources * [Vermont DVHA, Medicaid provider revalidation strategy](https://dvha.vermont.gov/providers/medicaid-provider-revalidation-strategy) * [Vermont DVHA, supervised billing](https://dvha.vermont.gov/providers/supervised-billing) * [Vermont Medicaid General Provider Manual, October 2026](https://vtmedicaid.com/assets/manuals/GeneralProviderManual.pdf) * [dvha.vermont.gov, Combined Provider Revalidation 20260604](https://dvha.vermont.gov/sites/dvha/files/documents/Combined-Provider-Revalidation-20260604.pdf) * [vtmedicaid.com, 2026SupervisedBillingManual](https://vtmedicaid.com/assets/manuals/2026SupervisedBillingManual.pdf) * [ecfr.gov, title 42.xml](https://www.ecfr.gov/api/versioner/v1/full/2026-10-29/title-42.xml?part=455§ion=455.414) ## Revenue Velocity Credentialing WeBill Health manages the full payer enrollment lifecycle, so your revenue cycle starts the moment your practice does. **Up to 40%** less payer enrollment lag against the industry baseline **24/7** CAQH and PECOS lifecycle monitoring [See Revenue Velocity Credentialing](https://webillhealth.com/revenue-velocity-credentialing/) ## More state enrollment guides Each neighboring state issues its own Medicaid ID under its own rules and timelines. * [Massachusetts](https://webillhealth.com/massachusetts-medicaid-provider-enrollment/) * [New Hampshire](https://webillhealth.com/new-hampshire-medicaid-provider-enrollment/) * [New York](https://webillhealth.com/new-york-medicaid-provider-enrollment/) See every state on [Medicaid provider enrollment by state](https://webillhealth.com/medicaid-provider-enrollment/). If Vermont providers are seeing Medicaid patients before an ID is active, read [The Credentialing Gap](https://webillhealth.com/credentialing-gap/). Reviewed by [James Whitaker](https://webillhealth.com/james-whitaker/), Credentialing Lead, on November 4, 2026. Facts verified November 2, 2026. ## Review your enrollment status with us The Revenue Defense Audit is a free, forensic review of your claims and A/R by the team that would work your account, including providers seeing patients under a payer that cannot pay them yet. Want a quick read first? [Check my Revenue Defense Score](https://webillhealth.com/revenue-defense-score/) for the credentialing and denial exposure in your specialty. [Request a Revenue Defense Audit](https://webillhealth.com/revenue-defense-audit/request/) WeBill Health is a specialty focused revenue cycle management partner for independent practices. Request a Revenue Defense Audit at https://webillhealth.com/form/