Chronic Care Management in Vermont.
Non-face-to-face care coordination for patients with multiple chronic conditions. Medicare billing, Green Mountain Care coverage, and compliance details for Vermont providers.
How does CCM work for providers in Vermont?
Chronic Care Management (CCM) enables Vermont providers to bill Medicare for non-face-to-face care coordination using CPT codes 99490, 99491, 99439. Patients with two or more chronic conditions qualify — common combinations in Vermont include heart disease, COPD, diabetes. Medicare covers CCM federally for patients with 2+ chronic conditions. Green Mountain Care provides partial supplementary coverage. Serving 0.1M seniors with +10% by 2035 projected growth, Vermont's CCM market is expanding. CCN Health manages clinical workflows, care plan documentation, and monthly billing — integrating with 4+ major health systems including University of Vermont Health Network and Dartmouth Health (Vermont) running CCM programs.
Medicare Billing
CCM billing in Vermont.
CCM uses federally standardized CPT codes with uniform reimbursement across Vermont. Green Mountain Care provides partial supplementary Medicaid coverage for dual-eligible patients.
CCM services, first 20 min of clinical staff time per month
CCM services requiring physician/QHP, first 30 min/month
Each additional 20 min of CCM clinical staff time
~$80-$130/mo per patient
20 minutes of non-face-to-face care coordination per month (99490); 30 minutes for complex CCM (99491)
Medicare covers CCM federally for patients with 2+ chronic conditions. Green Mountain Care provides partial supplementary coverage.
Billing Requirements
Patient must have two or more chronic conditions expected to last at least 12 months
Comprehensive care plan must be established and maintained
Patient consent documented in medical record
24/7 access to care team required
Continuity of care with designated practitioner
Vermont Medicaid Supplement
Green Mountain Care provides partial supplementary coverage — check current Green Mountain Care fee schedules for dual-eligible CCM rates.
Regulatory Landscape
CCM compliance in Vermont.
Beyond federal Medicare requirements, Vermont has specific telehealth, licensure, and privacy regulations that affect CCM programs.
Interstate Licensure
- *Vermont is not currently a member of the Interstate Medical Licensure Compact. Providers delivering CCM services must hold a valid Vermont medical license.
EHR Integrations
CCM-compatible EHRs.
Major Vermont health systems like University of Vermont Health Network and Dartmouth Health (Vermont) use EHR platforms that CCN Health integrates with. Each integration includes automated CCM documentation, billing, and clinical workflows.
PointClickCare
889 integration guides
ALIS
887 integration guides
Ethizo
240 integration guides
athenahealth
240 integration guides
Charm Health
240 integration guides
MatrixCare
240 integration guides
Epic
240 integration guides
August Health
240 integration guides
FAQ
CCM in Vermont questions.
As a predominantly rural state, Vermont providers particularly benefit from CCM's remote care capabilities, reducing the need for patients to travel long distances. Green Mountain Care offers partial supplementary coverage for dual-eligible patients. High prevalence of heart disease, COPD, diabetes among Vermont's patient population drives CCM enrollment.
Green Mountain Care provides partial supplementary coverage for CCM services. Medicare covers CCM federally for patients with 2+ chronic conditions. Green Mountain Care provides partial supplementary coverage. For dual-eligible beneficiaries, providers can bill both Medicare and Medicaid to maximize reimbursement.
With 0.1M residents aged 65+, Vermont has a large CCM-eligible population — patients with two or more chronic conditions. Common multi-morbidity combinations in Vermont include heart disease with COPD, and diabetes with heart disease. Vermont's +10% by 2035 senior population growth means CCM demand is accelerating.
Vermont has approximately 0.1M residents aged 65+ (18.7% of the population), with +10% by 2035 projected growth. High senior population percentage with rural geography. UVM Health Network covers most of the state. All-payer ACO model supports value-based remote monitoring.
CCM in Vermont must comply with federal Medicare billing requirements and HIPAA. Vermont does not currently have a comprehensive state privacy law beyond HIPAA, but standard patient consent and data security requirements apply. Vermont is not part of the Interstate Medical Licensure Compact — providers must hold a valid Vermont license to deliver CCM services. Vermont has strong telehealth parity. Green Mountain Care provides comprehensive coverage including remote monitoring.
This page provides general informational guidance only and does not constitute legal, compliance, or billing advice. Telehealth regulations, Medicaid coverage, and state privacy laws change frequently. Verify current requirements with your state health department, payers, and qualified healthcare compliance counsel before making program decisions. Demographic data is based on U.S. Census Bureau estimates. Data last verified: March 2026.
Other Programs
More programs in Vermont.
Explore other Medicare remote care programs available to Vermont providers.
RPM
Remote Patient Monitoring
Real-time vital sign monitoring with FDA-cleared cellular devices.
PCM
Principal Care Management
Focused management of a single high-complexity chronic condition.
BHI
Behavioral Health Integration
Behavioral health screening and collaborative care in primary care settings.
RTM
Remote Therapeutic Monitoring
Therapy outcome monitoring for musculoskeletal and respiratory rehabilitation.