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Vermont

Vermont Medicaid Application Guide

Vermont Medicaid · 205ALLMED

Content verified 2026-07-17T00:00:00.000Z

Medicaid Asset Protection & Spend-Down MilestonesGoverned Protocol
160-Month Lookback Guard

All asset transfers and gifts within 5 years are audited under state lookback statutes.

2Exempt vs. Countable Assets

Primary home equity, one vehicle, and personal effects remain protected under community spouse allowances.

3Miller Trust / QIT Path

Excess income in income-cap states is redirected into a Qualified Income Trust to preserve qualification.

Program overview

Vermont Medicaid is a government-funded health insurance plan for income-eligible people and people who are categorically eligible, administered by the Department of Vermont Health Access. The program covers medical care and prescription drugs and includes several specialized programs like Dr. Dynasaur for children under 19 and pregnant women, and Long-Term Care Medicaid for eligible Vermonters needing long-term care services.

Medicaid provides low-cost or free health care coverage for children, young adults under age 19, low-income adults, pregnant women, and those who are blind, disabled or age 65 or older. Eligibility is determined through income verification and categorical requirements. Vermont residents can apply year-round as there is no enrollment period for Medicaid coverage.

The program covers essential medical services including doctor visits, hospital care, preventive services, prescription medications, and specialized care. Vermont Medicaid has minimal cost-sharing requirements including $1-$3 prescription copays and $3 dental copays for some visits, with two cleanings and preventive exams free annually.

Applicants should be prepared for a thorough eligibility review process that examines household income, assets, and residency status. The application can be completed online or by phone at 1-855-899-9600 Monday through Friday from 8am to 4:30pm. Processing times vary, but applicants will receive notification of their eligibility determination and next steps for enrollment if approved.

Main application form

Application for Health Coverage and Help Paying Costs

Form 205ALLMED

Additional forms

  • Supplemental Information Form for Medicaid for Aged, Blind and Disabled · 205SUPP

    Required supplemental form for aged, blind or disabled applicants to provide additional eligibility information

  • Appendix A: Assistance Completing the Application ·

    Form for authorized representative designation if someone is helping with application

  • Appendix B: American Indian or Alaska Native Family Member ·

    Additional form required if any household member is American Indian or Alaska Native

Where to submit

Mail completed applications to: Green Mountain Care Application and Document Processing Center, 280 State Drive, NOB 1 South, Waterbury, VT 05671-1500. Applications can also be submitted online through Vermont Health Connect or by calling 1-855-899-9600.

Read guide

Vermont Medicaid provides free or low-cost health coverage for eligible residents including families, seniors, and people with disabilities. The Department of Vermont Health Access administers the program with multiple coverage options like regular Medicaid, Dr. Dynasaur for children and pregnant women, and Long-Term Care Medicaid. To apply, complete form 205ALLMED available online or by calling 1-855-899-9600. You'll need documents like Social Security cards, income proof, and residency verification. Applications can be submitted online, by mail, or over the phone. Vermont Medicaid covers medical care, prescriptions, and has minimal copays. There's no enrollment period - you can apply year-round if you meet income and residency requirements.

Official resources

Related guides

Frequently Asked Questions

How do I apply for Vermont Medicaid in Vermont?

To apply for Vermont Medicaid in Vermont, complete Application for Health Coverage and Help Paying Costs (205ALLMED), then submit it to Mail completed applications to: Green Mountain Care Application and Document Processing Center, 280 State Drive, NOB 1 South, Waterbury, VT 05671-1500. Applications can also be submitted online through Vermont Health Connect or by calling 1-855-899-9600..

What documents do I need to apply for Vermont Medicaid in Vermont?

You typically need to provide: Social Security cards or numbers for all applicants, Birth certificates for all family members applying, Immigration documents (if applicable), Proof of Vermont residency (utility bills, lease, etc.), Current pay stubs or income verification, Bank statements for all accounts, Health insurance cards (if currently insured), Tax returns (most recent), Medical records documenting disability (if applicable), Asset documentation (property deeds, vehicle titles), Life insurance policies, Documentation of any other income sources.

Where do I submit my Vermont Medicaid application in Vermont?

Submit your completed Vermont Medicaid application to Mail completed applications to: Green Mountain Care Application and Document Processing Center, 280 State Drive, NOB 1 South, Waterbury, VT 05671-1500. Applications can also be submitted online through Vermont Health Connect or by calling 1-855-899-9600..

Where can I find official information about Vermont Medicaid in Vermont?

Official information and application resources are available at Department of Vermont Health Access: https://dvha.vermont.gov/

How we research and verify this information

Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.

Editorial review by John Richie, Senior Care Research Editor.

The Care Decision Podcast · Episode 2 & Printable Cost Checklists

Real Care Cost Breakdown: Audio Guide & Printable Tour Checklists

Base rent is rarely the final monthly invoice. Stream Episode 2 (19 min) or click either reference card below to zoom, save, or print our tour pricing checklist and 3-bucket invoice funding blueprint.

The Care Decision podcast cover art

Episode 02 · 19:21 · Hosted by Maya & Daniel

What Does Memory Care Actually Cost?

Assisted living base rent ($5,900–$6,250/mo) vs. memory care ($6,500–$8,500+/mo), level-of-care add-ons, and tour questions.

Tour Pricing Checklist · Ep 2 Assisted Living vs. Memory Care Cost Breakdown (Ep 2)
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Funding Stack Blueprint · Ep 3 The 3-Bucket Invoice Split ($6,200/mo Gap · Ep 3)
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📝 Open Interactive 5-Question Facility Tour Worksheet & 24-Month Calculator (Printable) Expand ↓
Interactive Facility Tour Scorecard

5-Question Tour Worksheet & 24-Month Survival Calculator

Fill in the numbers quoted during your tour to calculate the 2-year total at the next care tier up, then print a 1-page scorecard.

Day-1 Monthly (Base + Meds)

$7,140/mo

Year-2 Monthly (Next Tier Up)

$8,390/mo

24-Month Total at Next Tier Up

$199,774

🧮 Open Interactive 3-Bucket Monthly Gap & Six-Doors Benefit Calculator (Ep 3 · Printable) Expand ↓
Interactive 3-Bucket Funding Stack · Ep 3

3-Bucket Monthly Gap & Six-Doors Benefit Stacker

Split the community quote into Room & Board (Bucket 1) and Personal Care/ADLs (Bucket 2) to see how Social Security, VA Aid & Attendance, LTC insurance, and state Medicaid HCBS waivers reduce your net monthly gap.

Net Monthly Family Gap (After Benefits)

$4,129/mo

Total Invoice: $6,200/mo · Covered: $2,071/mo

90-Day Elimination / Approval Bridge

$12,387

Home Care + Adult Day pacing ($3,120/mo) saves $9,240 over 90d

24-Month Net Family Out-of-Pocket

$99,096

Bucket 3 Clinical & Part D ($2,400 Rx cap) stays on Medicare

Card 1 / 1

Printable Family Reference Card

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