Embedded Files
VT Medicaid Template- iPad.docxVT Medicaid Document for iPads
VT Medicaid Document for iPads
This document includes the report, prescription and DME Ownership Agreement
VT Medicaid Template- SGD.docxVT Medicaid Document for SGDs
VT Medicaid Document for SGDs
This document includes the report, prescription and DME Ownership Agreement
Additional Forms
Additional Forms
VT-CMN.pdfThis Office of Vermont Health Access- Medicaid Medical Necessity Form needs to be submitted with all iPad or SGD submissions to Medicaid
This Office of Vermont Health Access- Medicaid Medical Necessity Form needs to be submitted with all iPad or SGD submissions to Medicaid
SGD Submission Portals
SGD Submission Portals
Google Sites
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