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Division of Rate Setting
Up one levelThe Division of Rate Setting was established in 1978 as an independent division of the Agency of Human Services. The Division provides the Agency and its departments with special financial, accounting, auditing, and related legal expertise, particularly relating to payments to Medicaid providers.
- Nursing Homes
- The Division sets Medicaid payment rates for services provided in Vermont licensed nursing homes (also referred to as nursing facilities) participating in the Medicaid program. The rates are set prospectively, based on each nursing home's costs which are annually reviewed by the Division's auditors for allowability. Semi-annually the Division publishes a Fact Book with statistical data about Vermont nursing homes.
- Private Nonmedical Institutions for Residential Child Care (PNMI)
- The Division sets payment rates for state-supported children and adolescents in residential placements (PNMI). Most of the placements are made by the Department of Children and Families, Division of Mental Health in the Department of Health, and the Department of Education and local education authorities. The rates are set prospectively, based on the allowable costs in an approved budget.
- Intermediate Care Facilities for the Mentally Retarded (ICF/MR)
- Intermediate Care Facilities for the Mentally Retarded (ICF/MR) provide care for developmentally disabled persons who also have significant physical disabilities and need 24 hour nursing care. As a result of the State's policy of care for people with developmental disabilities in the community, the number of ICF/MRs has declined significantly over the last 10 years.
- Locations map (Waterbury)
- Contact Information
- The Rate Setting and Auditing Chief is Kathleen Denette.
