This page contains proposed policies to the Global Commitment Register (GCR) for the Medicaid program. The proposed policies below are open to public comment. Click on the title of the GCR proposed policy to learn more and find out how to provide public comment.
To access the final policies and policy clarifications in the Global Commitment Register, click here.
- GCR 17-111: Medicaid State Plan 340B Drug Pricing Program Changes
- Draft State Plan page: Attachment 4.19-B page 4c
- Comment Period ended 4/9.2018. No comments were received.
- GCR 17-110: Proposed Amendment to Vermont's Global Commitment to Health 1115 Demonstration
- Draft Global Commitment to Health 1115 Waiver Amendment Request
- Comment period ended January 14, 2018. No comments were received.
- GCR 17-106: National Drug Codes on Medical Claims
- Comment period ended March 30, 2018. No comments were received.
- GCR 17-105: Miscellaneous Services Reimbursement Update
- Comment period ended January 28, 2018. The comment received, and state response can be viewed at this link.
- GCR 17-104: Physician Administered Drugs Fee Schedule Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 4b(1)
- Comment period ended January 28, 2018. The comment received, and state response can be viewed at this link.
- GCR 17-097: Department of Mental Health Psychotherapy Coding Updates (1/4/2018)
- Department of Mental Health Psychotherapy Coding Updates (12/29/2017)
- The comment period ended January 29, 2018. No comments were received.
- GCR 17-096: Reimbursement for Federally Qualified Health Centers and Rural Health Clinics
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 2a(2)
- The public comment period ended December 29, 2018. One comment was received and can be viewed at this link.
- Calendar Year (CY) 2018 FQHC/RHC Encounter Rates
- Impact of CY2018 FQHC/RHC Rate Update by Provider
- FQHC & RHC CY2018 Rate Methodology Selection Form
- GCR 17-091: Fee-for-Service Payments for Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (1/11/2018)
- Fee-for-Service Payments for Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (12/20/2017)
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 17
- Comment period ended January 22, 2018. Comments and responses can be viewed at this link.
- GCR 17-090: Health Care Administrative Rules Update (4/11/2018)
- Health Care Administrative Rules Update (12/5/2017)
- Comment period ended January 12, 2018.
- Rules included:
- 1.101 Health Care Administrative Rules Definitions
- 7101 Medicaid Benefit Delivery
- 4.102 Emergency Services
- 6.100 Medicaid Cost Sharing
- 8.100 Internal Appeals, Grievances, Notices, and State Fair Hearings on Medicaid Services
- 7110 Global Commitment Appeals and Grievances (Repealed)
- Comments received and responsiveness summary for 7101, 4.102, and 6.100 can be viewed here.
- Comments received and responsiveness summary for 8.100 can be viewed here.
- Summary of Changes can be viewed here.
- GCR 17-087: Vermont Medicaid Next Generation Accountable Care Organization Program
- VT Medicaid Next Generation Model ACO Program Coverage Document (draft)
- VT Medicaid Next Generation Model ACO Program Reimbursement Document (draft)
- The comment period ended January 29, 2018. The comment received, and state response can be viewed here.
- GCR 17-082: Inpatient Prospective Payment System
- GCR 17-080: Electric Breast Pump Coverage Change
- The comment period ended 7/28/2018. A summary of comments received, and state response can be viewed here.
- GCR 17-076: Outpatient Prospective Payment System
- Draft Global Commitment Amended State Plan Pages: Attachment 4.19-B pages 2a(1a), 2a(1b), 2a(1c), and 2a(1d)
- Annualized Fiscal Impact Proposed OPPS Payment Rates for SFY2018
- No comments were received.
- GCR 17-074: Face-to-Face Visit Verification (1/16/2018)
- Updated Face-to-Face Visit Verification (2/15/2018)
- Comment period ended 2/15/2018. A summary of comments and responses can be viewed here.
- GCR 17-073: Health Care Administrative Rules Updates (12/28/2017)
- Health Care Administrative Rules Updates (10/25/2017)
- Comment period ended December 5, 2017. Summary of Comments and Responses available here.
- Rules included:
- 7303 Acupuncture (Repealed)
- 7306 Fertility Services (Repealed)
- 7307 Massage Therapy (Repealed)
- 7310 Surgery (Repealed)
- 4.103 Medicaid Non-Covered Services
- 4.223 Abortion
- 9.103 Supervised Billing
- GCR 17-072: Telemedicine
- The comment period ended October 25, 2017. Comment and Response can be viewed here.
- GCR 17-071: Fetal Chromosomal Genetic Testing
- The comment period ended 5/28/2018. No comments were received.
- GCR 17-067: Digital Breast Tomosynthesis - 3D Mammography
- The comment period ended October 31, 2017. One comment was received and can be viewed here.
- GCR 17-063: Inpatient Postpartum Long-Acting Reversible Contraceptive Add-on Increase
- No comments were received.
- GCR 17-062: Women's Health Initiative Expansion to Primary Care Providers
- No comments were received.
- GCR 17-061: RBRVS Fee Schedule Update and Policy Changes
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 10
- Table 1. Update to List of Primary Care Conversion Factor Eligible Services
- Table 2. Fiscal Impact Model of DVHA RBRVS August 1, 2017 Updates
- Comments and response can be viewed here.
- GCR 17-060: Medicaid State Plan Home Health Rate Increase
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 3a(1)
- No comments were received.
- GCR 17-056: Global Commitment HCBS Rate Increase
- 2% Global Commitment HCBS Rate Increase Table
- No comments were received.
- GCR 17-055: Brattleboro Retreat Prior Authorization Pilot
- No comments were received.
- GCR 17-051: Rutland Regional Level 1 Rate Change
- No comments were received.
- GCR 17-043 through 17-049: Health Benefits Eligibility and Enrollment Rules Updates (10/20/2017)
- Health Benefits Eligibility and Enrollment Rules Updates (8/4/2017)
- GCR 17-043: HBEE Part 1 - General Provisions and Definitions
- GCR 17-044: HBEE Part 2 - Eligibility Standards
- GCR 17-045: HBEE Part 3 - Nonfinancial Eligibility Requirements
- GCR 17-046: HBEE Part 4 - Special Rules for Medicaid Coverage of Long-Term Care Services and Supports - Eligibility and Post-Eligibility
- GCR 17-047: HBEE Part 5 - Financial Methodologies
- GCR 17-048: HBEE Part 7 - Eligibility and Enrollment Procedures
- GCR 17-049: HBEE Part 8 - Fair Hearings and Expedited Administrative Appeals
- The public comment period ended September 12, 2017.
- Comments Received, Responsiveness Summary, and Summary of Changes can be viewed here.
- GCR 17-037: In-Home Lactation Consultations
- GCR 17-034: Children's Integrated Services Revised Medicaid Reimbursement Methodology
- Revised Medicaid Reimbursement Methodology for Children's Integrated Services 5/11/2017
- The public comment period ended June 10, 2017. A response to Frequently Asked Questions is available here.
- GCR 17-033: Department of Mental Health Fee-for-Service Manual Update
- Comment period ended June 1, 2017.
- GCR 17-026: Adult Crisis Bed Fee-for-Service Reimbursement
- Comment period ended 3/7/2018. No comments were received.
- GCR 17-021: Choices for Care Group Directed Attendant Care Rate Increase
- No comments were received.
- GCR 17-019: Adolescent Hospital Diversion Program
- The public comment period ended July 7, 2017. Comments and Responses are available here.
- GCR 17-017: Global Commitment to Health Comprehensive Quality Strategy
- The comment period ended April 28, 2017. A summary of public comments is available here.
- GCR 17-016: Rate Increase for Choices for Care Enhanced Residential Care
- No comments were received.
- GCR 17-013: Health Care Administrative Rules Update - 4.211 Augmentative Communication Devices and Systems (4/25/2017)
- 4.211 Augmentative Communication Devices and Systems - Second Public Comment Period (2/21/2017)
- Summary of public comments received during the first comment period and responses.
- No comments were received during the second comment period.
- 4.211 Augmentative Communication Devices and Systems - Second Public Comment Period (2/21/2017)
- GCR 17-010: Silver Diamine Fluoride Application
- Comment period ended 12/31/2017. No comments were received.
- GCR 17-004: Adult High Technology Services Rate
- No comments were received.
To access the final policies and policy clarifications in the Global Commitment Register, click here.