Department of Vermont Health Access
The Department of Vermont Health Access is a Vermont state agency that administers Vermont Medicaid and operates Vermont Health Connect, the state's health insurance marketplace, serving income-eligible Vermonters and marketplace enrollees through integrated eligibility, enrollment, and provider payment systems.
- Company typePrivate
- Founded-
- HeadquartersWaterbury, United States
- Headcount11–50
- GTM typeB2C
- OfferingServices
What Department of Vermont Health Access does
The Department of Vermont Health Access (DVHA) is a state government agency within Vermont's Agency of Human Services, responsible for administering the Vermont Medicaid program (Green Mountain Care) and operating Vermont Health Connect, the state's health insurance marketplace. It serves income-eligible Vermonters and categorically eligible populations (children, pregnant individuals, the aged, blind, and disabled), with over 200,000 Medicaid members reviewed for eligibility in the past year and 97% of Vermonters enrolled in some form of health coverage. DVHA integrates eligibility and enrollment across Medicaid and commercial Qualified Health Plans on a single platform, reaching members through the Vermont Health Connect online portal, a toll-free customer support center, and a network of trained in-person Assisters.
DVHA's core technology stack consists of the Vermont Health Connect state-based marketplace portal, the in-progress MMIS (Medicaid Management Information System) modernization initiative, and the Medicaid Data Warehouse & Analytics Solution (MDWAS). The agency's revenue model is managed-services administration: it does not earn commercial revenue but operates on federal and state appropriations to administer Medicaid funding flows and to certify Qualified Health Plans offered by Blue Cross and Blue Shield of Vermont and MVP Health Care on the exchange. Sub-brands include Dr. Dynasaur (children's coverage), Green Mountain Care, Year-Round Special Enrollment, the PATH chronic pain pilot (a bundled-payment integrative program with UVM Medical Center), and a provider-facing portal at vtmedicaid.com. Key vendor integrations include Gainwell (claims processing), Sandata (Electronic Visit Verification), Change Healthcare (pharmacy claims), and Checkbook Health (plan comparison). DVHA operates under the leadership of Commissioner Dr. DaShawn Groves (appointed September 2024) and is governed by state-level oversight with federal CMS compliance requirements.
Department of Vermont Health Access firmographics
Firmographics- Name
- Department of Vermont Health Access
- Legal name
- Department of Vermont Health Access
- Website
- https://dvha.vermont.gov
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- The Department of Vermont Health Access is a Vermont state agency that administers Vermont Medicaid and operates Vermont Health Connect, the state's health insurance marketplace, serving income-eligible Vermonters and marketplace enrollees through integrated eligibility, enrollment, and provider payment systems.
- Ownership category
- akta.pro rank
Department of Vermont Health Access industry classification
Industry- Product category
- State Health Insurance Administration
- NAICS
- Administration of Public Health Programs (92312), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (525120), Health Care and Social Assistance (62)
- SIC
- Hospital & Medical Service Plans (6324), Services-Health Services (8000)
- akta.pro industry
- Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage)Business & Public Services/Public Sector & Government Administration/Social Security, Benefits & Welfare AdministrationMedicare-Certified Skilled Home Health Agencies (HHA)Skilled Home Health (Medicare-Certified) Agencies
Keywords
Where Department of Vermont Health Access is headquartered
LocationHeadquarters
- HQ city
- Waterbury
- HQ country
- United States
- HQ region
- North America
Offices4 records
Markets served
Department of Vermont Health Access business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Infrastructure, Others
Revenue model
- Medicaid Administration: DVHA administers Vermont Medicaid, a joint federal-state program that provides government-funded health insurance for income-eligible individuals and categorically eligible populations. Funding comes from federal and state appropriations.
- State-Based Health Insurance Exchange: DVHA operates Vermont Health Connect, the state's health insurance marketplace where commercial health insurance plans from Blue Cross and Blue Shield of Vermont and MVP Health Care are offered. Qualified Health Plans are certified by DVHA and provide essential health benefits under the Affordable Care Act.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Subsidized Qualified Health Plans through Vermont Health Connect |
| Subscription | Monthly | Medicaid (Green Mountain Care) |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels6 records
Department of Vermont Health Access product offering
Product offeringCore offering
The Department of Vermont Health Access (DVHA) is a state government agency that administers Vermont's Medicaid program (Green Mountain Care) and operates Vermont Health Connect, the state's official health insurance marketplace. DVHA integrates eligibility and enrollment for Medicaid and commercial Qualified Health Plans issued by carriers such as Blue Cross and Blue Shield of Vermont and MVP Health Care, and supports Vermonters through online, telephone, paper, and in-person Assister channels.
Product overview
The Department of Vermont Health Access administers a portfolio of health coverage programs centered on Vermont Medicaid and Vermont Health Connect, the state's health insurance marketplace. Vermont Medicaid provides government-funded health insurance for income-eligible individuals and families, while Vermont Health Connect enables enrollment in Qualified Health Plans from Blue Cross and Blue Shield of Vermont and MVP Health Care. Key sub-brands include Dr. Dynasaur for children's coverage, Green Mountain Care, and the PATH Program for chronic pain care. The organization supports providers through a comprehensive manual system (available at vtmedicaid.com), a fee schedule portal, and Electronic Visit Verification services. Advisory committees including the Beneficiary Advisory Committee and Medicaid and Exchange Advisory Committee provide stakeholder input into program operations.
Differentiator
Problem solved
Functional benefit
Brands
- Vermont Health Connect: Vermont's state-based health insurance marketplace/exchange for purchasing health insurance plans.
- Green Mountain Care
- Dr. Dynasaur
Products and services
- Vermont Medicaid (Green Mountain Care)
- Vermont Health Connect
- PATH Program (Partners Aligned in Transformative Healing)
Quantifiable outcome
- 97% of Vermonters enrolled in health coverage (2025)
- +4 more outcomes
Companies that use Department of Vermont Health Access
Customer profileNamed customers2 records
Segments3 records
Ideal customer profiles3 records
Department of Vermont Health Access technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration6 records
AI capability1 record
Feature2 records
Department of Vermont Health Access partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered core and minor.
- University of Vermont Medical CentercoreDVHA and UVM Medical Center partnered to pilot the PATH (Partners Aligned in Transformative Healing) program, offering innovative chronic pain care to Medicaid members. The program provides a 16-week whole-person approach combining conventional treatment with complementary therapies. DVHA and UVMMC developed an innovative bundled payment model allowing patients access for one fixed price. Vermont became the first Medicaid program in the country to offer this type of comprehensive integrative pain program.
- Osher Center for Integrative Health at UVMcoreThe Osher Center for Integrative Health at UVM, formed with a Bernard Osher Foundation gift in 2022, provides the clinical infrastructure for the PATH program. It brings together practitioners from the College of Nursing and Health Sciences, the Larner College of Medicine, UVM Health Network, and community integrative therapists to deliver whole-person healthcare.
- Blue Cross and Blue Shield of VermontcoreBlue Cross and Blue Shield of Vermont offers Qualified Health Plans through Vermont Health Connect, certified by DVHA. Plans provide essential health benefits under the Affordable Care Act.
- MVP Health CarecoreMVP Health Care offers Qualified Health Plans through Vermont Health Connect, certified by DVHA. Plans provide essential health benefits under the Affordable Care Act.
- Northeast Delta DentalminorNortheast Delta Dental offers dental plans through Vermont Health Connect for qualified health and dental plans.
- Green Mountain Care Network ProviderscoreNetwork of healthcare providers participating in Vermont Medicaid who deliver services to Medicaid members. Provider participation is vital to successful delivery of services to Medicaid members.
- Agency of Human Services (AHS)coreDVHA is within the State of Vermont's Agency of Human Services, coordinating with other departments including DCF, DAIL, DMH, and VDH for integrated human services delivery.
Scale indicators6 records
Recent moves6 records
Expansion highlights5 records
Department of Vermont Health Access competitors and assessment
Company assessmentDirect peers
- Oregon Health Authority: Oregon Health Authority administers the Oregon Health Plan (Medicaid) and coordinates state health coverage, comparable to DVHA's oversight of Vermont Medicaid and the state-based exchange.
- Massachusetts Health Connector: Massachusetts operates a state-based health insurance marketplace with integrated Medicaid (MassHealth) administration, the model that most closely parallels DVHA's combined Medicaid + state exchange structure.
- New York State of Health: New York's state-based marketplace integrates Medicaid and Qualified Health Plan enrollment for a comparable combined-coverage role, making it a direct structural peer to DVHA.
- Rhode Island HealthSource RI: Rhode Island's state-based exchange integrates Medicaid and commercial marketplace enrollment in a small-state context, closely comparable to DVHA's Vermont-based operations.
- Connecticut Access Health CT: Connecticut's state-based exchange offers QHP enrollment with Medicaid integration, providing a similar small-state precedent for DVHA's combined exchange/Medicaid operating model.
- Covered California: California's state-based exchange is one of the largest in the U.S., offering Qualified Health Plans certified by a state agency and serving a similar role in coverage expansion as Vermont Health Connect.
- Minnesota MNsure: Minnesota's state-based marketplace (MNsure) connects individuals to Medicaid (Medical Assistance) and QHPs, mirroring DVHA's integrated eligibility model.
- Washington Healthplanfinder: Washington's state-based exchange integrates Medicaid and Qualified Health Plan enrollment, paralleling DVHA's model for combining public and commercial coverage administration.
- Maryland Health Benefit Exchange: Maryland operates a state-based marketplace for QHPs and Medicaid enrollment under a single state agency, directly comparable to DVHA's dual Medicaid/exchange mandate.
Others
- Gainwell Technologies: Gainwell is the Medicaid claims processing contractor for Vermont and many other states, providing the MMIS infrastructure that DVHA operates. The relationship is operational rather than competitive.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Department of Vermont Health Access social profiles
Digital presenceDepartment of Vermont Health Access compliance and trust
Trust signalCompliance4 records
Department of Vermont Health Access financial estimates
Financial estimateRevenue estimate
Valuation estimate
Department of Vermont Health Access leadership team
Management profileNumber of profiles
Profiles5 records
Department of Vermont Health Access funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Department of Vermont Health Access M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Department of Vermont Health Access
What does Department of Vermont Health Access do?
The Department of Vermont Health Access (DVHA) is a state government agency that administers Vermont's Medicaid program (Green Mountain Care) and operates Vermont Health Connect, the state's official health insurance marketplace. DVHA integrates eligibility and enrollment for Medicaid and commercial Qualified Health Plans issued by carriers such as Blue Cross and Blue Shield of Vermont and MVP Health Care, and supports Vermonters through online, telephone, paper, and in-person Assister channels.
Is Department of Vermont Health Access a public or private company?
Department of Vermont Health Access is a private company. It is classified as state government owned and is currently operating.
When was Department of Vermont Health Access founded?
Department of Vermont Health Access was founded in -1. It employs 11 to 50 people.
Where is Department of Vermont Health Access based?
Department of Vermont Health Access is headquartered in Waterbury, United States, in the North America region.
How does Department of Vermont Health Access make money?
Two revenue lines are on record. Medicaid Administration is the primary driver. The others are state-Based Health Insurance Exchange.
Who are Department of Vermont Health Access's main competitors?
Direct peers on record are Oregon Health Authority, Massachusetts Health Connector, New York State of Health, Rhode Island HealthSource RI, Connecticut Access Health CT, Covered California, Minnesota MNsure, Washington Healthplanfinder and Maryland Health Benefit Exchange. Gainwell Technologies is listed as an others.
Does Department of Vermont Health Access have an API?
No public API is recorded for Department of Vermont Health Access.
What industry is Department of Vermont Health Access in?
Department of Vermont Health Access's product category is State Health Insurance Administration. Its primary akta.pro industry code is BPAIAKAH, Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage), with a secondary code of HLADAFAA, Medicare-Certified Skilled Home Health Agencies (HHA). Its NAICS code is 92312 and its SIC code is 6324.