Vermont Medicaid Program Overview

Enrollment, funding, and managed care facts for Vermont Medicaid.

Get Vermont's Medicaid Fee Schedule →
0.15-0.17M
Enrolled
Expanded
ACA expansion status
59.01%
Federal match (FMAP), FFY2026
0-100%
In managed care

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

Yes. Vermont has adopted ACA Medicaid expansion. Effective 2014-01-01.

Get Vermont's Free Medicaid Fee Schedule

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