To be eligible for MDAAP, participating individuals/provider groups must be an active Medicaid provider licensed in the state of Vermont to provide mental health, substance user disorder (SUD) treatment, or long-term services and supports (LTSS) home and community-based services.
More specifically, MDAAP participants must be registered in the Vermont Medicaid Management Information System (MMIS) with a provider type and specialty code included in the table below (Providers Eligible for MDAAP). Additionally, participating individuals/provider groups must have at least one clinical location within the state of Vermont.
Important Note: Individual providers who received funds under the HITECH Medicaid Promoting Interoperability Programs do not qualify for MDAAP, though the organization they work for may still qualify if it operates under one of the provider types below.
In addition to meeting certain provider type and specialty requirements, eligible providers must also meet certain Medicaid patient/client volume requirements. Information about the Medicaid volume requirements can be found on the Medicaid Patient Volume Requirements page.
Providers Eligible for MDAAP
|
Provider Type Code |
Provider Type Code Description |
Provider Specialty Code |
Provider Specialty Description |
|
010 |
HOME HEALTH AGENCY |
S20 |
NON-PROFIT |
|
017 |
PT-OT-SLP |
065 |
PHYSICAL THERAPY |
|
017 |
PT-OT-SLP |
067 |
OCCUPATIONAL THERAPY |
|
017 |
PT-OT-SLP |
S30 |
SPEECH PATHOLOGIST |
|
019 |
MSTR LVL PSYCH,LCMHC,LICSW,LPC,LMFT |
062 |
INDEPENDENTLY BILLING PSYCHOLOGIST |
|
019 |
MSTR LVL PSYCH,LCMHC,LICSW,LPC,LMFT |
079 |
ADDICTION MEDICINE |
|
019 |
MSTR LVL PSYCH,LCMHC,LICSW,LPC,LMFT |
080 |
LICENSED PSYCHOLOGIST/SOCIAL WORKER |
|
019 |
MSTR LVL PSYCH,LCMHC,LICSW,LPC,LMFT |
S70 |
LICENSED CLINICAL MENTAL HEALTH COUNSELOR |
|
019 |
MSTR LVL PSYCH,LCMHC,LICSW,LPC,LMFT |
S71 |
MARRAIGE FAMILY THERAPIST |
|
030 |
PSYCHOLOGIST - DOCTORATE |
062 |
INDEPENDENTLY BILLING PSYCHOLOGIST |
|
030 |
PSYCHOLOGIST - DOCTORATE |
S72 |
CLINICAL PSYCHOLOGIST/PHD |
|
035 |
AUDIOLOGIST |
064 |
INDEPENDENTLY-BILLING AUDIOLOGIST |
|
037 |
STATE DESIGNATED MH CLINIC |
S12 |
COMMUNITY BEHAVIORAL HEALTH |
|
038 |
STATE DESIGNATED INTELLECTUAL DISABILITY CLINIC |
S13 |
STATE DEFINED INTELLECTUAL DISABILITY SERVICES |
|
039 |
STATE DEFINED CHILDREN AND FAMILY WAIVER CLINIC |
S25 |
STATE DEFINED COMMUNITY BEHAVIORAL HEALTH SERVICES |
|
042 |
STATE DEFINED INDEPENDENT AGING AND LIVING WAIVER |
S25 |
STATE DEFINED COMMUNITY BEHAVIORAL HEALTH SERVICES |
|
T04 |
PERSONAL CARE SERVICES |
S21 |
PERSONAL CARE SERVICES |
|
T07 |
LICENSED NURSE |
S22 |
RN |
|
T07 |
LICENSED NURSE |
S28 |
STATE DEFINED DME NURSING - HIGH TECH |
|
T14 |
STATE DEFINED RESIDENTIAL CARE WAIVER |
S25 |
STATE DEFINED COMMUNITY BEHAVIORAL HEALTH SERVICES |
|
T15 |
WAIVER CASE MANAGER-AGING AND ADULT |
S25 |
STATE DEFINED COMMUNITY BEHAVIORAL HEALTH SERVICES |
|
T16 |
STATE DEFINED TARGETED CASE MANAGEMENT |
S26 |
CASE MANAGEMENT |
|
T17 |
STATE DEFINED INDIVIDUAL CASE MANAGER |
S26 |
CASE MANAGEMENT |
|
T19 |
STATE DEFINED VOCATIONAL REHAB AGENCY |
S25 |
STATE DEFINED COMMUNITY BEHAVIORAL HEALTH SERVICES |
|
T20 |
DCF STATE DEFINED DESIGNATED CASE MANAGEMENT |
060 |
PUBLIC HEALTH AGENCY |
|
T20 |
DCF STATE DEFINED DESIGNATED CASE MANAGEMENT |
S26 |
CASE MANAGEMENT |
|
T21 |
STATE DESIGNATED CHILDRENS MEDICAL SERVICES |
060 |
PUBLIC HEALTH AGENCY |
|
T23 |
STATE DEFINED NON-MEDICAL RESIDENTIAL FACILITY |
061 |
RESIDENTIAL TREATMENT SERVICES |
|
T23 |
STATE DEFINED NON-MEDICAL RESIDENTIAL FACILITY |
S04 |
REHABILITATION |
|
T23 |
STATE DEFINED NON-MEDICAL RESIDENTIAL FACILITY |
S26 |
CASE MANAGEMENT |
|
T25 |
STATE DEFINED ADAP FACILITY |
S18 |
SUBSTANCE ABUSE TREATMENT SERVICES |
|
T26 |
STATE DEFINED ADULT DAY FACILITY |
S04 |
REHABILITATION |
|
T27 |
STATE DEFINED DEPARTMENT OF EDUCATION |
060 |
PUBLIC HEALTH AGENCY |
|
T34 |
STATE DEFINED CASE RATE AGENCY |
S31 |
STATE DEFINED CASE RATE SERVICES |
|
T36 |
INDEPEND. BILLING HIGH TECH NURSES |
S22 |
RN |
|
T36 |
INDEPEND. BILLING HIGH TECH NURSES |
S23 |
LPN |
|
T38 |
LICENSED ALCOHOL DRUG COUNSELOR |
079 |
ADDICTION MEDICINE |
|
T41 |
LICENSED PHYSICAL THERAPY ASSISTANT |
065 |
PHYSICAL THERAPY |
|
T44 |
NUTRITIONAL EDUCATORS |
098 |
DIABETIC COUNSELORS |
|
T44 |
NUTRITIONAL EDUCATORS |
S38 |
REGISTERED DIETICIANS |
|
T46 |
BEHAVIORAL ANALYST |
S50 |
BOARD CERTIFIED BEHAVIORAL ANALYST |
|
T46 |
BEHAVIORAL ANALYST |
S51 |
BOARD CERTIFIED ASSISTANT BEHAVORIAL ANALYST |
|
T47 |
FAMILY SUPPORTIVE HOUSING |
S53 |
FAMILY SUPPORTIVE HOUSING |