This page contains Global Commitment Register (GCR) proposed policies for the Medicaid program. The proposed policies below are open for public comment for a defined period of time. Click on the title of the GCR proposed policy to learn more and find out how to provide public comment.
To access the final policies and policy clarifications in the Global Commitment Register, click here.
Unless otherwise stated in a specific GCR proposed policy, comments can be sent to:
Medicaid Policy Unit, 280 State Drive, Center Building, Waterbury, Vermont 05671-1000
or email AHS.MedicaidPolicy@vermont.gov
- GCR 22-133: Hospice Services Rate Changes
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 6
- Comment period ended 1/30/2023. No comments were received.
- GCR 22-132: Residential Substance Use Disorder Treatment Value-Based Payment Measures
- Comment period ended 1/30/2023. No comments were received.
- GCR 22-131: Vermont Medicaid Next Generation ACO Program
- Comment period ended 1/30/2023. No comments were received.
- ACO Coverage Document
- ACO Reimbursement Document
- GCR 22-128: Physician Administered Drugs Fee Schedule Update
- Global Commitment Amended State Plan Page: Attachment 4.19-B page 4b(1)
- Comment period ended 3/3/2023. No comments were received.
- GCR 22-127: Outpatient Prospective Payment System Update
- Global Commitment Amended State Plan Page: Attachment 4.19-B page 2a(1a)
- Comment period ended 4/5/2023. No comments were received.
- GCR 22-126: 2023 Durable Medical Equipment, Prosthetics/Orthotics, and Supplies Fee Schedule Update
- Global Commitment Amended State Plan Page: Attachment 4.19-B page 17
- Comment period ended 3/15/2023. The comment received, and state response to comment, can be viewed here.
- GCR 22-125: Medicaid Investment: Medically Necessary Abortions
- Comment period ended 1/14/2023. Comments received and state response to comments can be viewed here.
- GCR 22-121: Medicaid Investment: Sustained Home Visiting Program
- Attachment S Sustained Home Visiting Program
- Comment period ended 12/30/2022. No comments were received.
- GCR 22-120: Inpatient and Residential Eating Disorder Treatment - Change to Utilization Management
- Comment period ended 1/27/2023. No comments were received.
- GCR 22-114: Brattleboro Retreat Prospective Payment Model Update
- Comment period ended 1/30/2023. No comments were received.
- GCR 22-112: Developmental Disabilities Services Program Value-Based Payment Model
- Comment period ended 1/30/2023. Comments received and state response can be viewed here.
- GCR 22-109: Hepatitis C Treatment in Hubs
- Comment period ended 6/26/2023. No comments were received.
- GCR 22-107: Health Care Administrative Rules Update - Filing 13 (6/27/2023)
- Health Care Administrative Rules Update - Filing 13 (12/28/2022)
- Comment period ended February 15, 2023. Comment received and state responsiveness summary can be viewed here.
- Rules included:
- 1.101 Health Care Administrative Rules Definitions
- 4.200 Inpatient Hospital Services
- 4.201 Outpatient Hospital Services
- Health Care Administrative Rules Update - Filing 13 (12/28/2022)
- GCR 22-106: Reimbursement for Federally Qualified Health Centers and Rural Health Clinics
- Comment period ended 1/20/2023. Comments received and state response can be viewed here.
- GCR 22-102: Changes to ACO and Out-of-Network Prior Authorization Requirements
- Comment period ended 12/2/2022. No comments were received.
- GCR 22-101: Changes to Prior Authorization Requirements
- Draft Annotated SPA Pages: Attachment 3.1-A page 3c and page 4e
- Comment period ended 12/2/2022. Comments were received. State response to comments can be viewed here.
- GCR 22-099: Health Care Administrative Rules Update (Filing 14) (3/1/2023)
- Health Care Administrative Rules Update (Filing 14) (11/1/2022)
- Comment period ended 12/21/2022. Comments received and the State response to comments can be viewed here.
- Rules included:
- 3.101 Telehealth
- 4.212 Prosthetic and Orthotic Devices
- 4.221 Podiatry Services
- 4.228 Transplantation Services
- Health Care Administrative Rules Update (Filing 14) (11/1/2022)
- GCR 22-098: Medicaid Investment: Balanced and Restorative Justice Program
- Comment period ended 12/30/2022. No comments were received.
- GCR 22-091: Specialty Drug List Changes
- Comment period ended 2/13/2023. No comments were received.
- GCR 22-087: Cervical Disc Arthroplasty Coverage
- Comment period ended 1/5/2023. No comments were received.
- GCR 22-086: Limitations on Cost-Sharing for Vermont Medicaid Members
- Comment period ended 4/14/2023. No comments were received.
- GCR 22-083: Change to Payment Schedule for Graduate Medical Education
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-A page 1c-11(a)
- Comment period ended 11/11/2022. No comments were received.
- GCR 22-082: Disproportionate Share Hospital One-Time Payment
- Draft State Plan Page: Attachment 4.19-A page 1g
- Comment period ended 9/29/2022. Two comments were received.
- GCR 22-077: Mental Health Case Rate Update
- Comment period ended 1/31/2023. No comments were received.
- GCR 22-074: Long-Acting Reversible Contraceptive Rate Update
- Comment period ended 8/29/2022. No comments were received.
- GCR 22-073: High Technology Nursing Program Payment Model
- Comment period ended 12/2/2022. One comment was received. The state response to comment can be viewed here.
- GCR 22-071: Preferred Provider Rate Increase (Correction - 8/1/2022)
- Preferred Provider Rate Increase (7/29/2022)
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 17a
- Comment period ended 8/29/2022. No comments were received.
- Preferred Provider Rate Increase (7/29/2022)
- GCR 22-070: Developmental Disabilities Services Program Home- and Community-Based Services Payment Update
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-069: Emergency Department Reimbursement for Mental Health Extended Stays (COVID-19 Response)
- Comment period ended 8/1/2022. One comment was received. The state response to comment can be viewed here.
- GCR 22-068: Medical Nutrition Therapy - Registered Dietitian Services (SPA #22-0013)
- Draft State Plan Amendment Page: Attachment 3.1-A page 6n(3)
- Comment period ended 8/11/2022. No comments were received.
- GCR 22-066: Medicaid Reimbursement for Self-Directed Personal Care Services and Respite
- Comment period ended 8/8/2022. No comments were received.
- GCR 22-065: Choices for Care, Brain Injury Program, and Adult Day Health Rate Increase
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 5a
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-064: Integrating Family Services Rate Increase
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-063: Northeastern Family Institute Case Rate
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-061: Mental Health Case Rate Update
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-060: Medicaid Reimbursement for Family-Managed Respite
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-057: Bridge Care Coordination Reimbursement
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-056: Brattleboro Retreat Prospective Payment Model
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-054: Department of Mental Health Fee-For-Service Rate Increase
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-051: Applied Behavior Analysis (ABA) Value-Based Payment Measures
- ABA Value-Based Payment Proposal: Stakeholder Questions and Answers (June 2022)
- Comment period ended 9/16/2022. Comments received and response to comments can be viewed here.
- GCR 22-050: Children's Integrated Services Rate Update
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-049: Medicaid Assistive Community Care Services Reimbursement
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 5a
- Comment period ended 8/1/2022. No comments were received.
- GCR 22-048: Electronic Visit Verification: Timesheet Requirement
- Comment period ended 7/11/2022. No comments were received.
- GCR 22-028: Medicaid Copay Changes
- Draft State Plan Amendment Page: 7.4.A COVID Rescission
- Comment period ended 1/20/2023. No comments were received.
- GCR 22-029 to 22-033: Health Benefits Eligibility and Enrollment (HBEE) Rule Update (10/19/2022)
- Health Benefits Eligibility and Enrollment (HBEE) Rules Update (7/12/2022)
- Comment period ended 8/24/2022. Comments received can be viewed here.
- State Responsiveness Summary and Summary of Technical Changes can be viewed here.
- Health Benefits Eligibility and Enrollment (HBEE) Rules Update (7/12/2022)
- GCR 22-017: Mental Health Case Rate Increase for Washington County Mental Health
- Comment period ended 6/1/2022. No comments were received.
- GCR 22-013: Clinical Diagnostic Laboratory Fee Schedule Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 2a(3)
- Comment period ended 3/31/2022. One comment was received.
- GCR 22-010: Choices for Care Self- and Surrogate-Directed Personal Care Services - Rate Factor Increase for Individual Budgets
- Comment period ended 3/7/2022. No comments were received.
- GCR 22-007: Preferred Provider Rate Increase
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 17a
- Comment period ended 6/23/2022. No comments were received.
- GCR 22-001: Electronic Visit Verification Recoupment
- Comment period ended 3/9/2022. No comments were received.