Program Scope
The VT-IES Project will seek to centralize eligibility and enrollment functionality for Qualified Health Plans (QHP), Medicaid coverage, and economic benefit programs. The list below outlines the high-level in-scope programs and the two primary systems used for eligibility determination and enrollment, ACCESS and Vermont Health Connect (VHC). This program list is subject to change.
Supported In-Scope High-Level Programs
Eligibility for State Programs (ACCESS Mainframe)
- Medicaid for Aged, Blind, and Disabled (MABD)
- Medicare Savings Program (MSP)
- Pharmacy Programs (VPharm & Healthy Vermonters)
- Refugee Medical Assistance (RMA)
- Reach Up (TANF)
- 3SquaresVT (SNAP)
- Fuel Assistance (LIHEAP)
- General Assistance (GA) / Emergency Assistance (EA)
- Refugee Medical Assistance (RMA)
Note: ACCESS supports additional State Programs and services outside of IE&E.
State-Based Health Exchange (Vermont Health Connect System)
- Qualified Health Plans (QHP)
- Premium assistance (VPA, APTC)
- Cost-Sharing assistance (VCSR, CSR)
- Medicaid for Children and Adults (MCA)
- Includes Dr. Dynasaur