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 21-094: Clinical Trial Routine Patient Cost Coverage
- Draft State Plan Amendment pages: Attachment 3.1-A page 14 and Attachment 3.1-B page 2
- Comment period ended 1/31/2022. No comments were received.
- GCR 21-092: Extension of Alternative Payment Model for Brattleboro Retreat
- Comment period ended 1/31/2022. No comments were received.
- GCR 21-090: Home Health, High Technology Nursing, and Pediatric Palliative Care Rates 2022
- Draft Global Commitment Amended State Plan pages: Attachment 4.19-B page 3a and page 3a(1)
- Comment period ended 1/31/2022. No comments were received.
- GCR 21-089: Hospice Services Rate Changes
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 6
- Comment period ended 1/17/2022. No comments were received.
- GCR 21-087: Dental Services Rate Change
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 3a(1) and page 4
- Comment period ended 2/28/2022. No comments were received.
- GCR 21-085: Pharmacy COVID-19 Antigen Test Coverage
- Comment Period: 12/2/2021 - 12/30/2021
- GCR 21-084: Timely Filing Reconsideration Request Process (3/7/2022)
- Second comment period ended /24/2022. Comments received are available here.
- Frequently Asked Questions Document
- Timely Filing Reconsideration Request Process (1/20/2022)
- Comment period ended 2/21/2022.
- GCR 21-080: 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 1/17/2022. No comments were received.
- GCR 21-077: Medicaid Coordination of Benefit Changes (SPA #21-0017)
- Draft State Plan Amendment pages: 69a; Attachment 4.22-A; Attachment 4.22-B page 1 and page 2
- Comment period ended 12/30/2021. No comments were received.
- GCR 21-075: Non-Emergency Medical Transportation Rate Update
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 7
- Comment period ended 1/19/2022. No comments were received.
- GCR 21-068: Change to Hysterectomy Prior Authorization Requirements
- Comment period ended 6/30/2022. Comments received and state response to comments can be viewed here.
- GCR 21-064: Vermont Medicaid Next Generation ACO Program
- Draft ACO Coverage Document
- Draft ACO Reimbursement Document
- Comment period ended 1/31/2022. No comments were received.
- GCR 21-060: Reimbursement for Federally Qualified Health Centers and Rural Health Clinics
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 2a(a)
- Comment period ended 1/15/2022. One comment was received.
- GCR 21-054: Applied Behavior Analysis Clinical Guidelines Updated
- Draft Applied Behavior Analysis Clinical Guidelines July 2021
- Comment period ended 8/14/2021. No comments were received.
- GCR 21-049: Medicaid Assistive Community Care Services Reimbursement
- Comment period ended 7/30/2021. No comments were received.
- GCR 21-047: Choices for Care, Brain Injury Program, and Adult Day Health Rate Increase
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 5a
- Comment period ended 7/30/2021. No comments were received.
- GCR 21-042: Adolescent Hospital Diversion Program - Reimbursement Update
- Comment period ended 7/30/2021. No comments were received.
- GCR 21-041: Continuous Glucose Monitors Available Through Pharmacy Benefit
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 17
- Comment period ended 9/30/2021. Comments received and state response can be viewed here.
- GCR 21-039: Home and Community-Based Services Initial Spending Plan (July 1, 2021)
- Home and Community-Based Services Initial Spending Plan (June 18, 2021)
- Comment period open through August 16, 2021
- Vermont's Proposal to Enhance, Expand, and Strengthen HCBS under the Medicaid Program (June 14, 2021)
- Home and Community-Based Services Opportunity Survey (5/27/2021)
- This survey closed on June 3, 2021.
- GCR 21-038: Physician Administered Drugs Fee Schedule Update
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 4b(1)
- Comment period ended 1/17/2022. No comments were received.
- GCR 21-037: Children's Integrated Services Rate Update
- Comment period ended 7/30/2021. No comments were received.
- GCR 21-036: RBRVS Fee Schedule Update
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 10
- Comment period ended 1/17/2022. One comment and state response can be viewed here.
- GCR 21-034: Outpatient Prospective Payment System Update
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 2a(1a)
- Comment period ended 1/17/2022. No comments were received.
- GCR 21-033: Global Commitment to Health Demonstration Renewal: Public Notice
- Comment period ended 6/12/2021. Comments received can be found in the 2022 Global Commitment waiver application.
- GCR 21-031: Rate Increase for Department of Mental Health Services
- Comment period ended 7/30/2021. No comments were received.
- GCR 21-029: Payment for Outpatient Dental Services
- GCR 21-028: High Technology Nursing Program Payment Model
- Comment period ended 12/31/2021. One comment and state response can be viewed here.
- GCR 21-025: Eating Disorder Treatment Services Reimbursement
- Comment period ended 7/19/2021. One comment and state response can be viewed here.
- GCR 21-023: Ambulatory Surgical Centers Reimbursement Change
- Comment period ended 7/26/2021. No comments were received.
- Draft Global Commitment Amended State Plan Pages: Attachment 4.19-B pages 2a(1a), 2a(1b), 2a(1c), 2a(1d)
- Draft State Plan Amendment page: Attachment 3.1-A page 4c(1)
- GCR 21-021: Episodic Payment Rate Update for Substance Use Disorder Residential Treatment
- Comment period ended 5/24/2021. No comments were received.
- GCR 21-017: Pharmacist-Provided Tobacco Cessation Services
- Comment period ended June 30, 2021. No comments were received.
- GCR 21-016: Health Care Administrative Rules Update - Filing 10 (5/19/2021)
- Health Care Administrative Rules Update - Filing 10 (3/3/2021)
- Comment period ended on April 14, 2021. The comments received and the responsiveness summary can be viewed here.
- Rules included:
- 4.208 Medical Supplies
- 4.209 Durable Medical Equipment
- 4.229 Applied Behavior Analysis Services
- 4.231 Home Health Services
- Health Care Administrative Rules Update - Filing 10 (3/3/2021)
- GCR 21-015: Changes to Applied Behavior Analysis Case Rate Payments
- Comment period ended 4/5/2021. The state's response to comments is available here.
- GCR 21-013: Percutaneous Transcatheter Closure
- Comment period ended 8/2/2021. No comments were received.
- GCR 21-012: Alternative Payment Model for Brattleboro Retreat
- Comment period ended 3/29/2021. No comments were received.
- GCR 21-006: Fiscal Employer Agent Rate Increase
- Comment period ended 3/1/2021. No comments were received.
- GCR 21-004: Blood Pressure Monitor Criteria and Coverage Revision
- Comment period ended 8/5/2021. One comment and state response can be viewed here.