2021 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 21-094: Clinical Trial Routine Patient Cost Coverage (SPA #22-0001)
  • Effective Date: 1/1/2022

• GCR 21-092: Extension of Alternative Payment Model for Brattleboro Retreat
  • Effective Date: 1/1/2022

• GCR 21-090: Home Health, High Technology Nursing, & Pediatric Palliative Care Rates 2022
  • Effective Date: 1/1/2022

• GCR 21-089: Hospice Services Rate Changes
  • Effective Date: 1/1/2022

• GCR 21-087: Dental Services Rate Change
  • Effective Date 2/1/2022

• GCR 21-080: Fee-for-Service Payments for Durable Medical Equipment, Prosthetics/Orthotics, and Supplies
  • Effective Date: 1/1/2022

• GCR 21-077: Medicaid Coordination of Benefit Changes (SPA 21-0017)
  • Effective Date: 12/31/2021

• GCR 21-075: Non-Emergency Medical Transportation Rate Update
  • Effective Date: 1/1/2022

• GCR 21-068: Change to Hysterectomy Prior Authorization Requirements
  • Effective Date: 7/1/2022

• GCR 21-064: Vermont Medicaid Next Generation ACO Program
  • Effective Date 1/1/2022
  • ACO Program Coverage Document
  • ACO Program Reimbursement Document

• GCR 21-060: Reimbursement for Federally Qualified Health Centers and Rural Health Clinics
  • Effective Date: 1/1/2022

• GCR 21-054: Applied Behavior Analysis Clinical Guidelines Updated
  • Effective Date: 8/15/2021

• GCR 21-049: Medicaid Assistive Community Care Services Reimbursement
  • Effective Date: 7/1/2021

• GCR 21-047: Choices for Care, Brain Injury Program, and Adult Day Health Rate Increase
  • Effective Date: 7/1/2021

• GCR 21-042: Adolescent Hospital Diversion Program - Reimbursement Update
  • Effective Date: 7/1/2021

• GCR 21-041: Continuous Glucose Monitors Available Through Pharmacy Benefit
  • Effective Date: 10/1/2021

• GCR 21-038: Physician Administered Drugs Fee Schedule Update
  • Effective Date 1/1/2022

• GCR 21-037: Children's Integrated Services Rate Update
  • Effective Date: 7/1/2021

• GCR 21-036: RBRVS Fee Schedule Update
  • Effective Date: 1/1/2022, except the late adjustment to the primary care conversion factor is effective 4/15/2022.
  • State Plan Technical Correction: Attachment 4.19-B page 7
  • Global Commitment Amended State Plan page 4/15/2022 update: Attachment 4.19-B page 10

• GCR 21-034: Outpatient Prospective Payment System Update
  • Effective Date: 1/1/2022

• GCR 21-033: Global Commitment to Health 1115 Demonstration: Temporary Extension (12/21/2021)
  • Global Commitment to Health 1115 Demonstration Renewal (7/1/2021)
    • Effective Date for Temporary Extension: 1/1/2022 - 6/30/2022

• GCR 21-031: Rate Increase for Department of Mental Health Services
  • Effective Date: 7/1/2021

• GCR 21-029: Payment for Outpatient Dental Services
  • Effective Date: 7/1/2021

• GCR 21-028: High Technology Nursing Program Payment Model
  • Effective Date: 1/1/2022

• GCR 21-026: Updated Federal Poverty Levels for MAGI-based Medicaid
  • Effective Date: 4/1/2021

• GCR 21-025: Eating Disorder Treatment Services Reimbursement
  • Effective Date: 7/1/2021

• GCR 21-024: Temporary Adjustments to Premium Assistance under the American Rescue Plan Act
  • Effective Date: 1/1/2021 - 12/31/2022

• GCR 21-023: Ambulatory Surgical Centers Reimbursement Change (8/6/2021)
  • State Plan Amendment 21-0013 Approval (12/30/2021)
  • Effective Date: 7/1/2021

• GCR 21-021: Episodic Payment Rate Update for Substance Use Disorder Residential Treatment
  • Effective Date: 5/1/2021

• GCR 21-017: Pharmacist-Provided Tobacco Cessation Services
  • Effective Date: 7/1/2021

• GCR 21-016: Health Care Administrative Rules Adopted Rules - Filing 10
  • Effective Date: 8/1/2021
  • Changes to rules since final proposed filing can be viewed here

• GCR 21-015: Changes to Applied Behavior Analysis Case Rate Payments
  • Effective Date: 7/1/2021

• GCR 21-013: Percutaneous Transcatheter Closure
  • Effective Date: 8/1/2021

• GCR 21-012: Alternative Payment Model for Brattleboro Retreat
  • Effective Date: 3/1/2021

• GCR 21-006: Fiscal Employer Agent Rate Increase
  • Effective Date: 2/1/2021

• GCR 21-004: Blood Pressure Monitor Criteria and Coverage Revision
  • Effective Date: 8/6/2021

• GCR 21-001: Green Mountain Care Financial Eligibility Standards
  • Effective Date: 1/1/2021

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