2020 Final Policies

This page contains final policies to the Global Commitment Register (GCR) for the Medicaid program.

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

• GCR 20-120: Brattleboro Retreat Five Day Authorization
  • Effective Date: 1/1/2021

• GCR 20-119: Vermont Medicaid Next Generation Accountable Care Organization (ACO) Program
  • Effective Date: 1/1/2021
  • ACO Coverage Document
  • ACO Reimbursement Document

• GCR 20-115: Developmental Disabilities Services Monthly Payment (COVID-19 Response)
  • Effective Date: 11/1/2020

• GCR 20-113: Reimbursement for Federally Qualified Health Centers and Rural Health Clinics
  • Effective Date: 12/14/2020 (new rates effective 1/1/2021)

• GCR 20-112: Fee-for-Service Payments for Durable Medical Equipment, Prosthetics/Orthotics, and Supplies
  • Effective Date: 1/1/2021

• GCR 20-110: Hospice Services Rate Changes
  • Effective Date: 11/1/2020

• GCR 20-109: Medicaid State Plan Home Health Services Rate Change
  • Effective Date: 11/1/2020

• GCR 20-108: RBRVS Fee Schedule Update
  • Effective Date 11/1/2020

• GCR 20-107: Outpatient Prospective Payment System Update
  • Effective Date: 11/1/2020

• GCR 20-106: Inpatient Prospective Payment System Update
  • Effective Date: 11/1/2020

• GCR 20-105: Physician Assistant Licensure Changes - Medicaid Impact (SPA 21-0005)
  • State Plan Amendment 21-0005 Approval (9/1/2021)
  • Effective Date: 1/1/2021

• GCR 20-102: Physician Administered Drugs Fee Schedule Update
  • Effective Date: 11/1/2020

• GCR 20-100: Integrating Family Services Rate Update
  • Effective Date: 1/1/2021

• GCR 20-098: Post Award Forum - Global Commitment to Health Demonstration Waiver
  • Effective Date: 1/1/2017 - 12/31/2021

• GCR 20-097: Health Care Administrative Rules Update - Filing 12
  • Effective Date: 4/1/2021
  • Rules included:
    • 4.225 Non-Emergency Medical Transportation
    • 4.226 Ambulance Services

• GCR 20-092: Addition of Gene Analysis Codes
  • Effective Date: 5/1/2021

• GCR 20-090: Developmental Disabilities Services Monthly Payment
  • Effective Date: 8/15/2020

• GCR 20-088: Updated Federal Poverty Levels for MAGI-based Medicaid
  • Effective Date: 4/1/2020

• GCR 20-085: High Dollar Inpatient (IP) Claims Review Process
  • Effective Date: 9/1/2020

• GCR 20-083: Human Leukocyte Antigen Codes
  • Effective Date: 8/1/2021

• GCR 20-078: Transcranial Magnetic Stimulation Clinical Practice Guidelines
  • Effective Date: 6/30/2020

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• GCR 20-076: Developmental Disabilities Services Monthly Payment
  • Effective Date: 7/1/2020

• GCR 20-075: Provider to Provider Store and Forward Coverage Expansion: Interprofessional Consultations
  • Effective Date: 7/1/2020

• GCR 20-074: Licensed Pharmacists and COVID-19 Testing (SPA 20-0017; COVID-19 Response; 9/15/2020)
  • State Plan Amendment 20-0017 Approval (2/9/2021)
  • Effective Date: 9/1/2020

• GCR 20-063: Home Health Services - Ordering Providers (SPA 21-0001)
  • State Plan Amendment 21-0001 Approval (9/1/2021)
  • Effective Date: 1/1/2021

• GCR 20-062: Developmental Disabilities Services - Temporary Payment Change
  • Effective Date: 3/1/2020 - 8/15/2020

• GCR 20-045: Success Beyond Six - Behavior Interventionist Case Rate
  • Effective Date: 3/1/2020 - 6/30/2020

• GCR 20-029: Medical Nutrition Therapy - Registered Dietitian Services (7/2/2021)
  • State Plan Amendment 21-0011 Approval (12/29/2021)
  • Effective Date: 7/1/2021

• GCR 20-026: Developmental Disabilities Services Administrative Fee Billing
  • Effective Date: 7/1/2020

• GCR 20-023: Clinical Diagnostic Laboratory Fee Schedule
  • Effective Date: 4/1/2020

• GCR 20-021: Fiscal Employer Agent Rate Increase
  • Effective Date: 2/6/2020

• GCR 20-019: Medication Therapy Management at Federally Qualified Health Centers and Rural Health Centers (SPA 20-0001)
  • Effective Date: 4/1/2020

• GCR 20-017: Green Mountain Care Financial Eligibility Standards
  • Effective Date: 1/1/2020

• GCR 20-011: Children's Integrated Services Payment Model
  • Effective Date: 10/1/2020

• GCR 20-008: Health Information Exchange Opt-Out Consent Implementation Strategy
  • Effective Date: 3/1/2020

• GCR 20-001 to 20-005: Health Benefits Eligibility and Enrollment Rule Update
  • Effective Date: 10/1/2021
  • Rules included:
    • 20-001: HBEE Part 1 - General Provisions and Definitions
    • 20-002: HBEE Part 5 - Financial Methodologies
    • 20-004: HBEE Part 7 - Eligibility and Enrollment Procedures
    • 20-005: HBEE Part 8 - State Fair Hearings and Expedited Eligibility Appeals

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