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).
2021
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CMS Approved Global Commitment to Health Section 1115 Waiver (01/13/2021)
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CMS approval letter of IMD Phasedown DY16 Expenditures (01/13/2021)
2020
- Attachment R: Home- and Community-Based Services Flexibilities in Response to the COVID-19 Emergency (2020)
- CMS approval letter of Attachment R (5/22/2020)
- CMS approval letter of Attachment G
- CMS approval letter of COVID-19 Public Health Emergency amendment
2019
Vermont has received CMS approval of its requested amendment to its Section 1115 Global Commitment to Health Demonstration (11-W-00194/1). This amendment ensures the continued availability of treatment supports that effectively treat serious mental illness (SMI) and severe emotional disturbance (SED), and it promotes a comprehensive and integrated continuum of mental and physical health, OUD/SUD treatment, and long-term services and supports for all Vermonters.
2019 Final Approved Waiver Documents:
- CMS Approval Letter (12/5/2019)
- Global Commitment to Health Section 1115 Waiver - with SMI Amendment (12/5/2019)
Monitoring Protocol:
2019 Waiver Amendment Request Documents:
- Demonstration Waiver Amendment Request - CMS Submission (9/9/2019)
- Draft Demonstration Waiver Amendment Request
- Global Commitment Register Public Notice (19-055)
2018
Vermont received approval from CMS effective July 1, 2018 to amend the Global Commitment to Health section 1115 waiver for the period of 7/1/2018 through 12/31/2021.
2018 Final Approved Waiver Documents:
- CMS Approval Letter (6/6/2018)
- Global Commitment to Health Section 1115 Waiver - with SUD Amendment (6/6/2018)
Phasedown Plan for Vermont's Psychiatric Institutions of Mental Disease (IMDs) - Report to CMS (12/31/2018)
Monitoring Protocol:
2018 Waiver Amendment Request Documents:
- Vermont Global Commitment Draft Amendment Request (12/14/2017)
- Preferred Providers: Substance Use Disorder Treatment Standards (1/30/2018)
- Preferred Providers Compliance Assessment Tool