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HCAR Proposed Rules

“Health Care Administrative Rules” or “HCAR” mean the collection of regulations adopted by the Agency of Human Services that govern the administration of Vermont Medicaid, including general provisions, eligibility, benefit delivery, covered services, reimbursement, specialized services, beneficiary rights, and provider responsibilities.

The rules found here are proposed and final proposed rules. Once rules are adopted, the proposed rules will be removed from this page. HCAR adopted rules are available here.

To submit a public comment on any proposed rule, please email the Agency of Human Services' Medicaid Policy Unit at Or send written comments to:

Medicaid Policy Unit

Agency of Human Services

280 State Drive, Center Building

Waterbury, VT 05671

For more information about a proposed or final proposed rule, please visit the Global Commitment Register (GCR) public notice that corresponds with the rule. A link to the GCR public notice is included in the table below. The GCR public notice includes a summary of the proposed rule and date of public hearing.


Information about proposed rules can also be found on the Secretary of State's Proposed Rule Postings website.


February 8, 2017 - Responses to Public Comments for Health Care Administrative Rules: 4.202 Dental Services for Beneficiaries Age 21 and Older; 4.203 Dental Services for Beneficiaries Under Age 21, and Pregnant and Postpartum Women; 4.205 Orthodontic Treatment; 4.211 Augmentative and Alternative Communication Devices/Systems; 10.100 Pharmaceutical Manufacturer Fee.


HCAR Proposed and Final Proposed Rules
Rule NumberRule TitleStatus

Links to Annotated and Non-Annotated Rule

Link to GCR Public Notice
7.100Developmental Disabilities Services

Proposed Rule

Filed with Secretary of State 11/9/16

AnnotatedProposed GCR 16-113
4.211Augmentative Communication Devices and Systems

Final Proposed Rule

Filed with Secretary of State 4/21/17



Public comments and responses

Proposed GCR 17-013

Final Proposed GCR 17-013