Policy Clarifications

This page contains policy clarifications for the Medicaid program.

To access the proposed and final policies in the Global Commitment Register, click here.

• GCR 24-118: COVID-19 Vaccines, Testing, and Treatment
  • Clarification Date: 9/27/2024

• GCR 24-110: Home- and Community-Based Services (HCBS) Spending Plan Narrative Update
  • Clarification Date: 08/30/2024

• GCR 24-019: Home- and Community-Based Services (HCBS) Spending Plan Narrative Update
  • Clarification Date: 3/8/2024

• GCR 23-147: Medicare Coverage Change
  • Clarification Date: 12/22/2023

• GCR 23-106: Home- and Community-Based Services (HCBS) Spending Plan Narrative Update
  • Clarification Date: 8/4/2023

• GCR 23-022: Home- and Community-Based Services (HCBS) Spending Plan Narrative Update
  • Clarification Date: 1/24/2023

• GCR 22-075: Home- and Community-Based Services (HCBS) Spending Plan Narrative Update
  • Clarification Date: 8/1/2022

• GCR 22-022: School-Based Clinician and Concurrent Education Rehabilitation and Treatment Minimum Service Thresholds (COVID-19 Response)
  • Clarification Date: 3/29/2022
  • Effective Dates: 7/1/2021 - 6/30/2022

• GCR 22-021: Vermont Medicaid Access to Care Plan
  • Clarification Date: 4/8/2022

• GCR 20-020: Mobile Crisis Services Survey
  • Clarification Date: 4/8/2022
  • GCR 22-020: Mobile Crisis Services Town Hall
    • Clarification Date: 3/8/2022

• GCR 22-012: COVID-19 Related Treatment (COVID-19 Response)
  • Clarification Date: 4/15/2022
  • Effective Date: 10/22/2021

• GCR 22-004: Outpatient Long-Acting Reversible Contraceptive Rate Update
  • Clarrification Date: 2/4/2022
  • Effective Date: 2/1/2022

• GCR 21-083: Home- and Community-Base Services Conflict of Interest Plan (12/17/2021)
  • Home- and Community-Based Services Conflict of Interest (10/22/2021)

• GCR 21-027: Change to COVID-19 Vaccine Administration Rates
  • Clarification Date: 4/2/2021
  • Effective Date: 3/15/2021

• GCR 21-005: Open Meeting on Global Commitment 1115 Waiver Renewal
  • Clarification Date: 1/28/2021
  • Written proposals can be sent to AHS.MedicaidPolicy@vermont.gov.

• GCR 20-118: COVID-19 Changes to Vaccine Coverage (COVID-19 Response)
  • Clarification Date: 12/22/2020
  • Effective Date: Immediately, lasting for the duration of the COVID-19 Public Health Emergency unless otherwise noticed.

• GCR 20-091: COVID-19 Testing
  • Effective Date: 3/1/2020

• GCR 20-079: COVID-19 Disaster Relief State Plan Amendment Approval
  • Clarification Date: 6/2/2020

• GCR 20-077: Global Commitment 1115 Waiver Home- and Community-Based Services Flexibilities (COVID-19 Response)
  • Clarification Date: 6/2/2020

• GCR 20-070: Choices for Care, Traumatic Brain Injury, and Children's Personal Care - Service Authorization Extensions (COVID-19 Response)
  • Clarification Date: 6/23/2020

• GCR 20-066: School-Based Administrative Claiming (COVID-19 Response)
  • Clarification Date: 5/29/2020

• GCR 20-063: Home Health Services - Ordering Providers (COVID-19 Response)
  • Clarification Date: 5/8/2020

• GCR 20-048: Durable Medical Equipment Coverage Changes and Requirements (COVID-19 Response)
  • Clarification Date: 4/28/2020

• GCR 20-044: Children's Personal Care Services - Parents and Family Members (COVID-19 Response)
  • Clarification Date: 4/13/2020

• GCR 20-043: Waive Home Health and Hospice Conditions of Participation (COVID-19 Response)
  • Clarification Date: 4/7/2020

• GCR 20-039: Prior Authorizations (COVID-19 Response)
  • Clarification Date: 4/14/2020

• GCR 20-037: Provider Enrollment (COVID-19 Response)
  • Clarification Date: 3/23/2020

• GCR 20-032: Copayment and Pharmacy Changes (COVID-19 Response)
  • Clarification Date: 3/31/2020

• GCR 20-031: Technology-Based Triage Consultations and Telephonic Services (COVID-19 Response)
  • Clarification Date: 3/23/2020

• GCR 19-041: Vermont Medicaid Next Generation (VMNG) Accountable Care Organization (ACO) Prior Authorization Waiver
  • Clarification Date: 7/19/2019

• GCR 19-022: Vermont Medicaid Request for EPSDT Services
  • Clarification Date: 9/25/2019

• GCR 18-033: Vermont Medicaid Coverage of Housing-Related Administrative Activities
  • Clarification Date: 5/22/2018

• GCR 18-029: Updated Federal Poverty Levels MAGI-based Medicaid
  • Clarification Date:3/30/2018

• GCR 18-007: Personal Care Electronic Visit Verification
  • Clarification Date: 8/7/2018

• GCR 17-090: Health Care Administrative Rule Update
  • Clarification Date: 7/5/2018
  • Effective Date: 7/6/2018

• GCR 17-082: Inpatient Prospective Payment System
  • Clarification Date: 1/3/2018

• GCR 17-036: Federal Poverty Levels for MAGI-based Medicaid Eligibility
  • Clarification Date: 5/22/2017

• GCR 16-123: Opioid Prescribing Changes for Acute Pain
  • Clarification Date: 7/7/2017

• GCR 16-109: Recovery Audit Contractor - State Plan Amendment 17-0003
  • Clarification Date: 9/1/2017

• GCR 16-104: LADCs Providing Supervision to Non-Licensed Mental Health Staff
  • Supervised Billing FAQ
  • Clarification Date: 9/26/2016

• GCR 16-102: LADCs Providing Supervision to Non-Licensed Mental Health Staff(Outdated - please see GCR 16-104 above)
  • Supervised Billing FAQ
  • Clarification Date: 9/16/2016

• GCR 16-093: Disproportonate Share Hosptial 2017 - State Plan Amendment 16-0029
  • Clarification Date: 4/24/2017

• GCR 16-089: Inpatient Prospective Payment System
  • Clarification Date: 9/1/2017

• GCR 16-081: Therapy Maximum Unit Limit - 97532
  • Clarification Date: 10/17/2016

• GCR 16-074: Rate Increase for Enhanced Primary Care Payments - State Plan Amendment 16-0021
  • Clarification Date: 3/21/2017

• GCR 16-059 Durable Medical Equipment Maximum Unit Limit - E1399
  • Clarification Date: 10/17/2016

• GCR 16-051: Medicaid Contraceptive Policy and Prescription Drug Supply Limits - State Plan Amendment 16-0019
  • Clarification Date: 4/24/2017

• GCR 16-037 Maximun Unit Change
  • Clarification Date: 7/1/2016

• GCR 16-034 Outpatient Prospective Payment System - State Plan Amendment 16-0011
  • Clarification Date: 12/20/2016

• GCR 16-031: Contact Lens Prior Authorizaton
  • Clarification Date: 7/1/2016

• GCR 16-021: Hospital-Based Intensive Outpatient/PHP Reimbursement
  • Clarification Date: 10/1/2016

• GCR 16-020: Medicaid for Working People with Disability Expansion
  • Clarification Date: 12/29/2017

• GCR 16-015: Limit on Therapy Units Per Session
  • Clarification Date: 10/11/2016

• GCR 16-002: Removal of Copays for Services Related to Sexual Assault - State Plan Amendment 16-0017
  • Clarification Date: 4/24/2017

If you would like to be notified when new policies are posted, please email AHS.MedicaidPolicy@vermont.gov and request to be added to the GCR listserv.