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Private Nonmedical Institutions for Residential Child Care (PNMI)
The State of Vermont funds a network of treatment facilities for children and adolescents with emotional behavior challenges through Private Nonmedical Institutions (PNMI) for Residential Child Care, part of the State's Medicaid program. The facilities provide treatment for children and adolescents (ages 7-18) and families which is designed to build on their strengths and return children to their homes and communities whenever possible and appropriate.
The PNMI program in Vermont is administered through an inter-agency group of Placement Authorizing Departments (PADs) including Department of Children and Families(DCF), Department of Education (DOE), Division of Alcohol and Drug Abuse Programs (ADAP), Economic Services Division (ESD) (formerly PATH) of Department of Children and Families, and Division of Mental Health in the Department of Health. Representatives from these departments serve on a Central Review Committee (CRC) which reviews referrals for residential care to determine the level of need and approve placement.
Medicaid Payment for PNMI Services
PNMI rates are set according to rules adopted in accordance with the Vermont Administrative Procedures Act (3 V.S.A. §836), Methods, Standards and Principles for Establishing Payment Rates for Private Nonmedical Institutions Providing Residential Child Care Services. In addition to the rules, the Division and the PADs have implemented certain practices and procedures for the application of the rules.
PNMI rates are set annually for each program based on a proposed budget submitted by the provider, known as a "funding application". The application is reviewed by the Division's auditors in conjunction with the financial statements and previous year's budget and an approved budget is developed which becomes the basis for each program's per diem rate.
For more information about the PNMI rate setting methodology, contact Division of Rate Setting.
