This page contains Global Commitment Register (GCR) proposed policies for the Medicaid program. The proposed policies below are open for public comment for a defined period of time. 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 can be sent to:
Medicaid Policy Unit, 280 State Drive, Center Building, Waterbury, Vermont 05671-1000
or email AHS.MedicaidPolicy@vermont.gov
- GCR 20-120: Brattleboro Retreat Five-Day Authorization
- Comment period ended 2/1/2021. No comments were received.
- GCR 20-119: Vermont Medicaid Next Generation Accountable Care Organization (ACO) Program
- Draft ACO Coverage Document
- Draft ACO Reimbursement Document
- Comment period ended 2/1/2021. No comments were received.
- GCR 20-115: Developmental Disabilities Services Monthly Payment (COVID-19 Response)
- Comment period ended 12/30/2020. No comments were received.
- GCR 20-113: Reimbursement for Federally Qualified Health Centers and Rural Health Clinics
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 2a(2)
- Provider Rate Election Form
- Estimated Fiscal Impact by Provider
- Comment period ended 12/30/2020. No comments were received.
- GCR 20-112: 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 12/24/2020. No comments were received.
- GCR 20-110: Hospice Services Rate Changes
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 6
- Comment period ended 11/30/2020. No comments were received.
- GCR 20-109: Medicaid State Plan Home Health Services Rate Change
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 3a(1)
- Comment period ended 11/30/2020. No comments were received.
- GCR 20-108: RBRVS Fee Schedule Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 10
- Comment period ended 11/23/2020. One comment was received.
- GCR 20-107: Outpatient Prospective Payment System Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 2a(1a)
- Comment period ended 11/23/2020. No comments were received.
- GCR 20-106: Inpatient Prospective Payment System Update
- GCR 20-105: Physician Assistant Licensure Changes - Medicaid Impact
- Draft State Plan Page: Attachment 3.1-A page 3d(6)
- Comment period ended 12/28/2020. No comments were received.
- GCR 20-102: Physician Administered Drugs Fee Schedule Update
- Comment period ended 11/26/2020. No comments were received.
- GCR 20-100: Integrating Family Services Rate Update
- Comment period ended 12/28/2020. No comments were received.
- GCR 20-097: Health Care Administrative Rules Update - Filing 12 (2/5/2021)
- Health Care Administrative Rules Update - Filing 12 (11/24/2020)
- Comment period ended January 13, 2021. No comments were received.
- Rules included:
- 4.225 Non-Emergency Medical Transportation
- 4.226 Ambulance Services
- GCR 20-092: Addition of Gene Analysis Codes
- Comment period ended 4/30/2021. No comments were received.
- GCR 20-090: Developmental Disabilities Services (DDS) Monthly Payment
- Comment period ended 9/11/2020. No comments were received.
- GCR 20-085: Changes to High Dollar Inpatient (IP) Claims Review Process
- Comment period ended 9/2/2020. No comments were received.
- GCR 20-083: Human Leukocyte Antigen Codes
- Comment period ended 7/30/2021. No comments were received.
- GCR 20-078: Transcranial Magnetic Stimulation
- Transcranial Magnetic Stimulation Clinical Practice Guidelines
- Comment period ended 6/29/2020. No comments were received.
- Transcranial Magnetic Stimulation Clinical Practice Guidelines
- GCR 20-076: Developmental Disabilities Services Monthly Payment
- Comment period ended 7/29/2020. No comments were received.
- GCR 20-075: Provider to Provider Store and Forward Coverage Expansion: Interprofessional Consultations
- Comment period ended 7/2/2020. Comment received and responsiveness summary available here.
- GCR 20-074: Licensed Pharmacists and COVID-19 Testing (SPA 20-0017; COVID-19 Response)
- Draft State Plan Page: Att. 3.1-A page 3d(6)
- Comment period ended 8/31/2020. No comments were received.
- GCR 20-063: Home Health Services - Ordering Providers
- Draft State Plan Page: Attachment 3.1-A page 3e
- Comment period ended 12/18/2020. No comments were received.
- GCR 20-062: Developmental Disabilities Services - Temporary Payment Change (COVID-19 Response)
- Comment period ended 6/8/2020. No comments were received.
- GCR 20-045: Success Beyond Six - Behavior Interventionist Case Rate (COVID-19 Response)
- Comment period ended 5/11/2020. No comments received.
- GCR 20-029: Medical Nutrition Therapy - Registered Dietitian Services (SPA 21-0011)
- Draft State Plan Page: Attachment 3.1-A page 3d(8)
- Draft Alternative Benefit Plan page
- Comment period ended 6/28/2021. No comments were received.
- GCR 20-026: Developmental Disabilities Services Administrative Fee Billing
- Comment period ended 7/13/2020. No comments were received.
- GCR 20-024: Comprehensive Quality Strategy with Incorporated Statewide Transition Plan - Comment Period Extended (3/19/2020)
- Comprehensive Quality Strategy with Incorporated Statewide Transition Plan (2/19/2020)
- Comment Period: 2/19/2020 - 4/20/2020
- Submit comments to Shawn Skaflestad, AHS QI Manager, 280 State Drive, Waterbury, VT 05671-1000
- Or email shawn.skaflestad@vermont.gov
- Comprehensive Quality Strategy with Incorporated Statewide Transition Plan (2/19/2020)
- GCR 20-023: Clinical Laboratory Fee Schedule
- Comment period ended 3/31/2020. No comments received.
- GCR 20-021: Fiscal Employer Agent Rate Increase
- Comment period ended 3/5/2020. No comments received.
- GCR 20-019: Medication Therapy Management at Federally Qualified Health Centers and Rural Health Centers - State Plan Amendment 20-0001; 20-0007
- Draft State Plan Page: Attachment 3.1-A page 3d(5)
- Comment period ended 3/11/2020. No comments received.
- GCR 20-011: Children's Integrated Services Payment Model
- Comment period ended 9/30/2020. Comments and response can be viewed here.
- GCR 20-008: Health Information Exchange Opt-Out Consent Implementation Strategy (Revised 1/27/2020 to include public meeting call-in info)
- Health Information Exchange Opt-Out Consent Implementation Strategy (1/15/2020)
- Comment period ended 2/17/2020. No written comments were received. Notes from the 2/4/2020 HIE public hearing are available here.
- Health Information Exchange Opt-Out Consent Implementation Strategy (1/15/2020)
- GCR 20-001 through 20-005: Health Benefits Eligibility and Enrollment Rule Update (6/7/2021)
- Health Benefits Eligibility and Enrollment Rule Update (3/3/2021)
- Comment period ended April 13, 2021. Comment received and State response to comment can be viewed here.
- 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
- Health Benefits Eligibility and Enrollment Rule Update (3/3/2021)
- GCR 20-001 through 20-004: Health Eligibility and Enrollment Rule Update - Postponed (4/3/2020)
- Health Benefits Eligibility and Enrollment Rules Update (2/26/2020)
- 2020 comment period and rule filing was postponed due to COVID-19 public health emergency.
- Health Benefits Eligibility and Enrollment Rules Update (2/26/2020)