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.
Unless otherwise stated in a specific GCR proposed policy, comments on a proposed policy can be sent to:
Medicaid Policy Unit, 280 State Drive, Center Building, Waterbury, Vermont 05671-1000
or email AHS.MedicaidPolicy@vermont.gov
- GCR 19-090: Personal Needs Allowance Increase
- Draft State Plan Page:
- Comment period ended 1/31/2020. No comments were received.
- GCR 19-084: Vermont Medicaid Next Generation ACO Program
- Draft ACO Coverage Document
- Draft ACO Reimbursement Document
- Comment period ended 1/31/2020. Click here to view comment received.
- GCR 19-083: Personal Care Electronic Visit Verification (EVV) Survey
- Comment Period: 11/25/2019 - 12/27/2019
- EVV Feedback Survey
- GCR 19-081: Fee-for-Service Payments for Durable Medical Equipment, Prosthetics/Orthotics, and Supplies
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 17
- Comment period ended 12/27/2019. One set of comments and the State response can be viewed here.
- GCR 19-080: Brattleboro Retreat Inpatient Psychiatric Services
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-A page 1c-8
- Comment period ended 11/27/19. No comments were received.
- GCR 19-074: Specialized Therapeutic Residential Treatment
- Comment period ended 12/27/2019. Click here to view the comment received and response.
- GCR 19-070: Episodic Payment Rates for Substance Use Disorder Residential Treatment
- Comment period ended 1/22/2020. No comments were received.
- GCR 19-069: Integrating Family Services Rate Update
- Comment period ended 1/13/2020. No comments were received.
- GCR 19-060: Health Care Administrative Rules Update - Filing 9 (3/2/2020)
- Health Care Administrative Rules Update - Filing 9 (10/30/2019)
- Comment period ended 12/18/19.
- Rules included:
- 4.101 Medical Necessity for Covered Services
- 4.106 Early and Periodic Screening, Diagnostic and Treatment (EPSDT)
- 4.225 Non-Emergency Medical Transportation
- 4.226 Ambulance Services
- Health Care Administrative Rules Update - Filing 9 (10/30/2019)
- GCR 19-059: Health Care Administrative Rules Update - Choices for Care (1/27/2020)
- Health Care Administrative Rules Update - Choices for Care (8/23/2019)
- Comment period ended October 11, 2019. Comments received and responsiveness summary are available at these links.
- Rules included: Choices for Care
- Health Care Administrative Rules Update - Choices for Care (8/23/2019)
- GCR 19-058: Health Care Administrative Rules Update - Filing 8 (10/11/2019)
- Health Care Administrative Rules Update - Filing 8 (8/21/2019)
- The public comment period ended September 30, 2019. Comments were received on rules 4.232 and 4.239.
- Rules included:
- 4.213 Audiology Services
- 4.214 Eyewear and Vision Care Services
- 4.203 Dental Services for Beneficiaries Under Age 21, and Pregnant and Postpartum Women
- 4.204 Dental Services for Beneficiaries Age 21 and Older
- 6.100 Medicaid Cost Sharing
- 4.232 Medically Complex Nursing Services
- 4.239 In-home Lactation Consultation Services
- Health Care Administrative Rules Update - Filing 8 (8/21/2019)
- GCR 19-057: Substance Use Disorder Residential Treatment Episodic Payment
- Comment period ended 10/25/2019. No comments were received.
- GCR 19-056: Medicaid Dental Benefit Changes - SPAs 20-0005; 20-0009; 20-0011
- Draft State Plan Pages: Attachment 3.1-A page 4d and Medicaid Premiums and Cost Sharing G2a
- Comment period ended 12/9/2019. One comment was received.
- GCR 19-055: Global Commitment to Health 1115 Demonstration Amendment - Serious Mental Illness/Severe Emotional Disturbance
- Draft Demonstration Waiver Amendment Request
- The comment period ended 9/1/2019. Comments received can be viewed here.
- GCR 19-054: Disproportionate Share Hospital Update
- GCR 19-051: Reimbursement for Federally Qualified Health Centers and Rural Health Clinics
- Draft Global Commitment Amended State Plan Pages: Attachment 4.19-B page 2a(2)
- Provider Rate Election Form
- Estimated Fiscal Impact by Provider
- Comment period ended 10/25/2019. No comments were received.
- GCR 19-044: Ostomy Supplies
- Comment period ended 11/14/2019. No comments were received.
- GCR 19-043: Pharmacist-Administered Vaccine Coverage and Reimbursement
- Draft Global Commitment Amended State Plan Page: 66(b)
- Comment period ended 10/30/2019. No comments were received.
- GCR 19-039: Dental Hygienist Silver Diamine Fluoride Application
- Comment period ended 9/30/2019. No comments were received.
- GCR 19-037: Choices for Care, Traumatic Brain Injury, and Adult Day Rate Increase
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 5a
- Comment period ended 7/26/2019. No comments were received.
- GCR 19-036: Low-Intensity Residential Treatment for Substance Use Disorder
- Comment period ended 12/31/2019. No comments were received.
- GCR 19-034: RBRVS Fee Schedule Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 10
- Comment period ended 7/1/2019. Comments received, and state response can be viewed here.
- GCR 19-033: Assistive Community Care Services Rate Change
- Comment period ended 7/22/2019. No comments were received.
- GCR 19-032: Medicaid Transportation Reimbursement Rates
- GCR 19-031: Outpatient Prospective Payment System Update
- Draft Global Commitment Amended State Plan Pages: Attachment 4.19-B page 2a(1a)
- Comment period ended 7/1/2019. One comment was received.
- GCR 19-030: Medicaid State Plan Home Health Services Rate Increase (6/28/2019)
- CORRECTION - 19-030: Medicaid State Plan Home Health Services Rate Increase (7/2/2019)
- Draft Global Commitment Amended State Plan Pages: Attachment 4.19-B pages 3a, 3a(1), and 6
- Comment period ended 7/29/2019. One comment and state response can be viewed here.
- GCR 19-028: Physician Administered Drugs Fee Schedule Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 4b(1)
- Comment period ended 7/1/2019. No comments were received.
- GCR 19-027: Long-Acting Reversible Contraceptive (LARC) - Inpatient Postpartum Add-on and Outpatient Update
- Comment period ended 7/29/2019. No comments were received.
- GCR 19-026: Children's Integrated Services Rate Update
- Comment period ended 7/29/2019. No comments were received.
- GCR 19-025: Expanding Access to Continuous Glucose Monitors
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 4a
- Comment period ended 9/30/2019. No comments were received.
- GCR 19-021: Health Care Administrative Rules Update - Filing 7 (8/20/2019)
- Health Care Administrative Rules Update - Filing 7 (5/29/2019)
- The public comment period ended July 17, 2019. Comments were only received on HCAR 4.238.
- Rules included:
- 4.207 Prescribed Drugs
- 4.238 Gender Affirmation Surgery for the Treatment of Gender Dysphoria
- 7501 Pharmaceuticals, Medical Supplies and Equipment - General Information (Repeal)
- 5447 VPharm Prescribed Drugs
- GCR 19-020: Removal of Prior Authorization Requirements for Specific Codes - SPA #19-0007
- Draft State Plan Page: Attachment 3.1-A page 3b
- Comment period ended 10/14/2019. No comments were received.
- GCR 19-019: Medicaid High Tech Nursing Program Changes
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 3a
- Comment period ended 9/19/2019. Comment received and state response can be viewed here.
- GCR 19-014: Clinical Diagnostic Laboratory Fee Schedule
- Comment period ended 4/15/2019. One comment was received.
- GCR 19-013: Pediatric Palliative Care - Removal of Annual Services Cap
- Comment period ended 8/30/2019. No comments were received.
- GCR 19-012: Home Oxygen Therapy
- Comment period ended 12/27/2019. One set of comments and the state response can be viewed here.
- GCR 19-011: Advanced Care Planning Services
- Comment period ended 8/14/2019. No comments were received.
- GCR 19-009: Interim Partial Dentures
- Comment period ended 6/30/2019. No comments were received.
- GCR 19-005: Applied Behavior Analysis (ABA) - Adaptive Behavior Group Codes Changes (5/3/2019 - Corrected)
- Applied Behavior Analysis (ABA) - Adaptive Behavior Group Codes Changes (5/1/2019 - outdated)
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 3a
- ABA CPT Code Chart
- Comment period ended 5/31/2019. No comments were received.
- GCR 19-002: Fiscal Employer Agent Rate Increase
- Comment period ended 2/28/2019. No comments were received.
To access the final policies and policy clarifications in the Global Commitment Register, click here.