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2015 - 2017 Waiver Documents

The Global Commitment to Health is a Demonstration Waiver authorized pursuant to Section 1115(a) by the Centers for Medicare and Medicaid Services (CMS), within the Department of Health and Human Services (HHS).


Vermont received approval from CMS effective October 24, 2016 to extend the Global Commitment to Health Section 1115 Waiver for the period of 1/1/2017 through 12/31/2021.

2017 Final Approved Waiver Documents:


2017 Waiver Request Documents:



Vermont received approval from CMS, effective January 30, 2015, to consolidate the State's Choices for Care demonstration with the Global Commitment demonstration. 

The 2015 Global Commitment to Health waivers, expenditure authorities, and special terms and conditions can be found in this document:
Approval documents related to the Companion Aide Pilot Project can be found here: