EHR Incentive Program Reconsideration and Appeal Process


The Department of Vermont Health Access, Electronic Health Record Incentive Program (EHRIP) offers a Reconsideration and Appeal process that aligns with that of the Vermont Medicaid program, and is detailed in Section 18 of the Green Mountain Care Provider Manual, available here:
http://www.vtmedicaid.com/Downloads/manuals.html.


Reconsideration of EHRIP Decisions

Eligible Professionals and Eligible Hospitals may request Reconsideration of an EHRIP decision regarding eligibility for: payment amount, overpayment amount, or recoupment. The request must be made within thirty (30) calendar days of the receipt of the overpayment notice OR of the denial notice OR within thirty (30) calendar days of the date of the EHRIP payment in dispute. The request must be filed on theĀ Request for EHRIP Reconsiderationform (below).

Please follow the instructions in the Green Mountain Care Provider Manual and note that all requests and forms are sent to:

Office of the General Counsel
EHRIP Appeals
Department of Vermont Health Access
NOB 1 South
280 State Drive
Waterbury, VT 05671-1010

Forms:

Request for EHRIP Reconsideration form(.DOC; 24 KB)

Request for Appeal of EHRIP Reconsideration form(.DOC; 24 KB)


Back to the Vermont Medicaid EHRIP Home Page

(Page last updated 12/29/2016)