Medicaid Vehicle Exception Request Form - Vermont

Medicaid Vehicle Exception Request Form - Vermont

Medicaid Vehicle Exception Request Form is a legal document that was released by the Department of Vermont Health Access - a government authority operating within Vermont.

FAQ

Q: What is a Medicaid Vehicle Exception Request Form?
A: The Medicaid Vehicle Exception Request Form is a document used in Vermont to request an exception to the vehicle resource limit for Medicaid eligibility.

Q: Who can use the Medicaid Vehicle Exception Request Form?
A: Any Vermont resident who is applying for or receiving Medicaid benefits and owns a vehicle can use the form.

Q: What is the purpose of the form?
A: The form is used to request an exception to the vehicle resource limit in order to qualify for Medicaid benefits.

Q: What information do I need to provide on the form?
A: You will need to provide your personal information, details about the vehicle, and reasons why the vehicle is essential for your medical needs or transportation.

Q: Is there a deadline for submitting the form?
A: There is no specific deadline for submitting the form, but it is recommended to submit it as soon as possible to avoid any delays in processing your Medicaid application.

Q: Can I appeal if my request for a vehicle exception is denied?
A: Yes, if your request is denied, you have the right to appeal the decision by following the instructions provided by your local Vermont Medicaid office.

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Form Details:

  • Released on December 28, 2021;
  • The latest edition currently provided by the Department of Vermont Health Access;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Department of Vermont Health Access.

Download Medicaid Vehicle Exception Request Form - Vermont

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  • Medicaid Vehicle Exception Request Form - Vermont, Page 1
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