Vermont Medicaid Program Overview
Enrollment, funding, and managed care facts for Vermont Medicaid.
Get Vermont's Medicaid Fee Schedule →Enrollment
Vermont Medicaid covered approximately 0.15-0.17M people. KFF's total monthly Medicaid & CHIP enrollment tracker gives 145,403 (May 2026); healthinsurance.org's state guide gives 152,275 (October 2025); CMS's 2024 Medicaid Managed Care Enrollment report gives 165,372 (July 1, 2024). The spread reflects different reporting periods and continuing post-pandemic 'unwinding' redeterminations rather than a data conflict -- reported as a range across the earliest (CMS, mid-2024) and most recent (KFF, May 2026) figures.
Funding & federal match
Vermont has adopted ACA Medicaid expansion, effective 2014-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Vermont's Federal Medical Assistance Percentage (FMAP) is 59.01%.
Delivery system & managed care
A large share of Vermont Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 0-100% of Medicaid enrollees.
Waivers
Vermont operates Medicaid managed care under the Global Commitment to Health, a Section 1115 demonstration waiver. Vermont's umbrella Section 1115 demonstration, in place since 2005 (renewed repeatedly). Under this waiver the Department of Vermont Health Access (DVHA), a unit of state government, operates as the sole comprehensive managed-care-like entity for nearly all Vermont Medicaid enrollees on a global budget, rather than the state contracting with private MCOs. A five-and-a-half-year extension was approved by CMS on June 28, 2022, running through December 31, 2027; recent amendments have added a reentry/justice-involved-population initiative and expanded children's personal care services.
Frequently Asked Questions
Get Vermont's Free Medicaid Fee Schedule
Request actual Vermont Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- healthinsurance.org - Medicaid eligibility and enrollment in Vermont
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GovInfo - FY2026 FMAP Notice (89 FR 94742)
- Congressional Research Service - Medicaid's Federal Medical Assistance Percentage (FMAP), Report R43847 (Table, FY2021-FY2026)
- KFF State Health Facts - State Activity Around Expanding Medicaid Under the ACA
- KFF State Health Facts - Managed Care Penetration Rates by Eligibility Group
- CMS Newsroom - Vermont Global Commitment to Health Section 1115 Demonstration Extension Approval
- Vermont Agency of Human Services - Global Commitment to Health 1115 Waiver
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.