The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Vermont other services schedule has 271 codes.
- Every code on all 51 published schedules
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Published codes
271
Other Services procedures on the 2026 schedule
Median % of Medicare
83.8%
vs national Medicare, GPCI-neutral
PA required
41
codes flagged by the state
Common other services procedures and what Vermont Medicaid pays
A curated sample of recognizable procedures from the 271-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Vermont rate | % of Medicare |
|---|---|---|---|
| S5125 | Attendant care services; per 15 minutes | $12.50 | -- |
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $12.98 | -- |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More Vermont Medicaid fee schedules
- Vermont physician fee schedule · 6,514 codes
- Vermont dme & supplies fee schedule · 1,914 codes
- Vermont lab & imaging fee schedule · 1,880 codes
- Vermont drugs fee schedule · 746 codes
- Vermont anesthesia fee schedule · 274 codes
- Vermont vision fee schedule · 150 codes
Other Services rates in neighboring states
Frequently asked questions
What does Vermont Medicaid pay for other covered services?
Vermont Medicaid publishes 271 other services procedure rates effective 2026, paying a median 83.8% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Vermont's other services rates compare with Medicare?
Across other services codes with a national Medicare comparator, Vermont Medicaid pays a median 83.8% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do other services services need prior authorization in Vermont?
Vermont publishes prior-authorization flags on its schedule: 41 other services codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Vermont's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Vermont changes these rates.