Medical Billing Built for Vermont Healthcare Providers
Green Mountain Care is the umbrella brand Vermont uses for its publicly funded coverage — Vermont Medicaid, the Dr. Dynasaur children's and pregnancy program, and related pharmacy assistance — administered by the Department of Vermont Health Access under a federal Section 1115 "Global Commitment to Health" waiver. Vermont also runs something almost no other state has: an All-Payer ACO Model agreement with CMS, under which Medicare, Medicaid, and commercial insurers all pay through a single ACO — OneCare Vermont, the state's sole multi-payer ACO — using aligned value-based payment instead of separate fee-for-service rules per payer. On top of that, the independent Green Mountain Care Board regulates hospital budgets and insurance rates statewide, a level of centralized rate oversight most states don't have. That combination — one payer brand for public coverage, one ACO for value-based payment, one board setting rates — makes Vermont's billing environment structurally different from its neighbors.
Whether you're in Burlington, South Burlington, Rutland or anywhere else in Vermont — ZenoMedix RCM provides the same certified billing expertise with deep knowledge of local payer rules and Vermont Medicaid requirements.
Major Payers We Work With in Vermont
Vermont Medicaid
Green Mountain Care — Vermont's umbrella brand for Medicaid and the Dr. Dynasaur children's/pregnancy program, administered by the Department of Vermont Health Access under a Section 1115 "Global Commitment to Health" waiver. Most Vermont providers also participate in OneCare Vermont, the state's All-Payer ACO Model aligning Medicare, Medicaid, and commercial payment.
HIPAA Compliance
Full HIPAA compliance for all VT providers. We stay current with all Vermont billing regulations. View HIPAA Statement →
Every City in Vermont — We're Your Billing Team
Remote billing means you get the same expert service whether you're in a major metro or a smaller community across Vermont.
75+ Specialties Served Across Vermont
Each specialty has a dedicated billing team trained on its CPT codes, modifiers, and payer-specific requirements in Vermont.
Everything Your Practice Needs — Nothing You Don't
Vermont Billing FAQ
Green Mountain Care is the umbrella brand Vermont uses for its publicly funded coverage — it includes Vermont Medicaid and the Dr. Dynasaur children's and pregnancy program, run by the Department of Vermont Health Access under a Section 1115 waiver. We bill under whichever specific sub-program the patient is actually enrolled in.
It can. OneCare Vermont is the state's sole multi-payer ACO under Vermont's All-Payer Model agreement with CMS, aligning Medicare, Medicaid, and commercial payment around value-based terms rather than standard fee-for-service. We bill and track claims consistent with your ACO participation rather than defaulting to generic fee-for-service rules.
Yes. Our Vermont coding team regularly bills Blue Cross Blue Shield of Vermont, MVP Health Care, UnitedHealthcare, Aetna, and Green Mountain Care, tracking each payer's specific documentation and modifier requirements so claims go out clean the first time.
The Green Mountain Care Board primarily regulates hospital budgets and insurance rates statewide, so it doesn't change individual claim submission — but it does shape the payment environment your claims are reimbursed under, which we factor into how we track payer performance.
We serve Vermont practices statewide, from Burlington, South Burlington, Rutland, Barre, and everywhere in between — not just the biggest metro area.