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 23-165: Medicaid Investment: Pregnancy Intention Initiative Expansion
- Comment period: 05/31/23 - 06/30/24
- GCR 23-164: Mental Health Case Rate Update
- Comment period ended 1/22/2024. No comments were received.
- GCR 23-163: Northeastern Family Institute Case Rate Update
- Comment period ended 1/22/2024. No comments were received.
- GCR 23-161: Hospice Services Rate Changes
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 6
- Comment period ended 1/22/2024. No comments were received.
- GCR 23-159: Supervised Billing: Addition of HM Modifier
- Comment period ended 1/22/2024. No comments were received.
- GCR 23-157: Pharmacy COVID-19 Test Kit Limits
- Comment period ended 2/23/24. No comments were received.
- GCR 23-155: RBRVS Fee Schedule Update
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 10
- Comment period ended 1/19/2024. Comment received and state response can be viewed here.
- GCR 23-154: Outpatient Prospective Payment System
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 2a(1a)
- Comment period ended 1/19/2024. No comments were received.
- GCR 23-152: Physician Administered Drugs Fee Schedule Update
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 4b(1)
- Comment period ended 1/19/2024. Comment received and state response can be viewed here.
- GCR 23-151: Increase to the Personal Needs Allowance and Aid for the Aged, Blind, and Disabled - Medicaid State Plan Amendments
- Draft State Plan Amendment Pages: Attachment 2.6-A page 4a; MACPro Reviewable Unit - Optional State Supplement Beneficiaries Eligibility Group
- Comment period ended 1/19/2024. No comments were received.
- GCR 23-148: Medicaid Global Payment Program
- Comment period ended 1/29/2024. No comments were received.
- GCR 23-146: Brattleboro Retreat Alternative Payment Model (APM) Changes
- Comment period ended 1/29/2024. No comments were received.
- GCR 23-145: Medicaid Investment: Office of Health Care Reform
- Comment period ended 12/13/23. No comments were received.
- GCR 23-144: VPharm Coverage Rule Update (4/10/2024)
- VPharm Coverage Rule Update (1/23/2024)
- Comment period ended March 13, 2024. The comment received and state response can be viewed here.
- VPharm Coverage Rule Update (1/23/2024)
- GCR 23-143: Residential Eating Disorder Treatment For Adults
- Draft State Plan Amendment Page: Attachment 3.1-A page 6o(1)
- Comment period ended 12/29/23. No comments were received.
- GCR 23-142: Residential Preferred Provider Rate Increase
- Comment period ended 12/31/23. No comments were received.
- GCR 23-136: Electronic Visit Verification Claims Monitoring
- Comment period ended 12/06/23. No comments were received.
- GCR 23-135: Medicaid Investment: HCBS Provider and Organization Grants
- Comment period ended 11/11/23. No comments were received.
- GCR 23-132: Community-Based Mobile Crisis Services
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 17c
- Draft State Plan Amendment pages: Attachment 3.1-A page 6n(7) and page 6n(8); Alternative Benefit Plan 5 - Benefits
- Comment period ended 1/22/2024. State response to comments can be viewed here.
- GCR 23-131: Health Care Administrative Rules Update - Children's Personal Care Services (1/19/2024)
- Health Care Administrative Rules Update - Children's Personal Care Services (10/18/2023)
- Comment period ended December 19, 2023. No comments were received.
- Health Care Administrative Rules Update - Children's Personal Care Services (10/18/2023)
- GCR 23-130: Dental Place of Service Home
- Comment period ended 2/16/24. No comments were received.
- GCR 23-128: Medicaid Investment: Blueprint for Health Community Health Teams Expansion
- Comment period ended 10/29/23. No comments were received.
- GCR 23-127: River Valley Therapeutic Residence Payment Rate
- Comment period ended 10/30/2023. No comments were received.
- GCR 23-124: Division of Substance Use Preferred Provider Rate Increase Extension
- Draft Global Commitment Amended State Plan page: Attachment 4.19-B page 17a
- Comment Period: 3/29/24 - 4/29/24
- GCR 23-120: Update to ABA Payment Methodology Language
- Draft Global Commitment Annotated State Plan Page: Attachment 4.19-B page 3a(a)
- Comment period ended 11/6/23. No comments were received.
- GCR 23-115: Medicaid Investment: Designated and Specialized Service Agencies (DA/SSA)
- Comment period ended 10/1/23. State response to comments can be viewed here.
- GCR 23-114: Medicaid Vaccine Coverage
- Draft Global Commitment Annotated State Plan Page: Attachment 4.19-B page 17b
- Draft Annotated State Plan Page: Attachment 3.1-A page 6n(4)
- Comment period ended 10/26/2023. No comments were received.
- GCR 23-111: Medicaid Investment: Community-Based Mobile Crisis Coverage for the Uninsured and Underinsured
- Comment period ended 10/1/23. No comments were received.
- GCR 23-105: Medicaid Incontinence Supplies State Plan Amendment (#23-0039)
- Draft Global Commitment Annotated State Plan Page: Attachment 4.19-B page 17
- Draft Annotated State Plan Page: Attachment 3.1-A page 3e
- Comment period ended 9/5/2023. No comments were received.
- GCR 23-104: Telehealth Coding
- Comment period ended 12/06/23. Comments received and state response can be viewed here.
- GCR 23-103: Expansion of Coverage for Breast Pump Supplies
- Comment period ended 12/14/23. No comments were received.
- GCR 23-100: Electronic Visit Verification Claims Monitoring
- Comment period ended 10/26/2023. No comments were received.
- GCR 23-099 Medicaid Investment: Suicide Prevention
- Comment period ended 8/11/2023. No comments were received.
- GCR 23-098 Medicaid Investment: Mental Health Consumer Support Programs
- Comment period ended 8/11/2023. One comment was received.
- GCR 23-097: Vermont Medicaid Next Generation ACO Program
- Comment period ended 1/22/2024. No comments were received.
- GCR 23-096: Private Nonmedical Institution Reimbursement
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 5
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-093: Payment Update for Second Spring Residential Care
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-092: Mental Health Case Rate Update
- Comment period ended 7/31/2023. Comment received can be viewed here.
- GCR 23-091: Health Care Administrative Rules - Filing 11 (1/29/2024)
- Health Care Administrative Rules - Filing 11 (6/27/2023)
- Comment period ended August 16, 2023. Comments received and the State Responsiveness Summary can be viewed here.
- Rules included:
- 4.105 Medicaid Coverage of Exception Requests
- Health Care Administrative Rules - Filing 11 (6/27/2023)
- GCR 23-090: Family Supportive Housing Changes
- Comment period ended 9/18/2023. No comments were received.
- GCR 23-089: Children’s Integrated Services Value-Based Payment Model
- Comment period ended 1/29/2024. No comments were received.
- GCR 23-082 to 23-088: Health Benefits Eligibility and Enrollment Rules Update (10/25/2023)
- Health Benefits Eligibility and Enrollment Rules Update (9/5/2023)
- Comment period ended October 13, 2023. No comments were received.
- Rules included:
- HBEE Part 1 - General Provisions and Definitions
- HBEE Part 2 - Eligibility Standards
- HBEE Part 3 - Nonfinancial Eligibility Requirements
- HBEE Part 4 - Special Rules for Medicaid Coverage of Long-Term Care Services and Supports - Eligibility and Post-Eligibility
- HBEE Part 5 - Financial Methodologies
- HBEE Part 7 - Eligibility-and-Enrollment Procedures
- HBEE Part 8 - State Fair Hearings and Expedited Eligibility Appeals
- Health Benefits Eligibility and Enrollment Rules Update (9/5/2023)
- GCR 23-080: Compression Garment Providers
- Comment period ended 9/21/2023. No comments were received.
- GCR 23-079: Ambulance Fee Schedule Rate Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 7
- Draft State Plan Amendment Page: Attachment 3.1-A page 3d(9)
- Draft Alternative Benefit Plan Page: ABP5
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-078: RBRVS Fee Schedule Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 10
- Comment period ended 7/31/2023. Comment received and state response can be viewed here.
- GCR 23-077: Reimbursement for Federally Qualified Health Centers and Rural Health Clinics
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 2a(2)
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-076: Vermont Medicaid Telehealth Coverage
- Comment period ended 7/20/2023. No comments were received.
- GCR 23-075: Medicaid Assistive Community Care Services Reimbursement
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 5a
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-074: Expanding Breast Pump Coverage
- Comment period ended 9/5/2023. Comments received and state response can be viewed here.
- GCR 23-073: Preferred Provider Rate Increase
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 17a
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-071: Medicaid Dental Benefit and Rate Changes
- Draft State Plan Amendment Page: Attachment 3.1-A page 4d
- Draft Global Commitment Amended State Plan Pages: Attachment 4.19-B page 3a(1), page 4, and page 5
- Comment period ended 7/26/2023. Comments received and state response can be viewed here.
- GCR 23-069: Department of Disabilities, Aging, and Independent Living Medicaid Rate Increases
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 5a
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-068: Department of Mental Health Fee-For-Service Rate Increase
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-066: Integrating Family Services Rate Increase
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-065: Northeastern Family Institute Case Rate Update
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-059: Medicaid Investment: Blueprint for Health Community Health Teams Expansion
- Comment period ended 7/31/2023. Comments received and state response can be viewed here.
- GCR 23-057: Graduate Medical Education
- Comment period ended 6/30/2023. No comments were received.
- GCR 23-056: Sustained Family Support Home Visiting: Parents As Teachers
- Draft State Plan Amendment Page: Attachment 3.1-A Supp 1 page 21
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 6f
- Comment Period ended 6/30/23. No comments were received.
- GCR 23-055: Pharmacy Over-the-Counter Drug Changes
- Draft State Plan Amendment Pages: Attachment 3.1-A page 5a(1) and page 5a(2)
- Comment period ended 7/26/2023. No comments were received.
- GCR 23-054: Medicaid Reimbursement for Self-Directed Personal Care Services and Respite
- Comment period ended 7/31/2023. No comments were received.
- GCR 23-053: Pharmacy Blood Pressure Monitors
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 4a
- Comment period closed 9/30/2023. No comments were received.
- GCR 23-052: Medicaid Investment: Mobile Crisis Start-Up Funding
- Comment Period ended 6/26/2023. No comments were received.
- GCR 23-050: HCAR Filing #14 - Alternative Benefit Plan and State Plan Amendments
- Draft State Plan Amendment Pages: Attachment 3.1-E pages 1 - 3; Attachment 3.1-A page 2e and page 5c; ABP5 Podiatry; ABP5 Prosthetics
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 9
- Comment period ended 5/30/2023. No comments were received.
- GCR 23-047: Residential Substance Use Disorder Treatment Value-Based Payment Model
- Comment period ended 1/22/2024. No comments were received.
- GCR 23-046: Developmental Disabilities Services Program Value-Based Payment Model
- Comment period ended 1/29/2024. No comments were received.
- GCR 23-045: Applied Behavior Analysis Value-Based Payment Model
- Comment period ended 1/29/2024. No comments were received.
- GCR 23-044: High Technology Nursing Program Payment Model
- Comment period ended 12/22/2023. No comments were received.
- GCR 23-042: Medicaid Investment: Comprehensive Pain Management Pilot
- Comment Period: 8/17/2023 - 9/15/2023
- GCR 23-041: Vermont Medicaid Postpartum Eligibility Expansion
- Draft State Plan Amendment Reviewable Unit: Continuous Eligibility for Pregnant Women and Extended Postpartum Coverage
- Comment period ended 4/27/2023. Comments received can be viewed here.
- GCR 23-040: Emergency Department Reimbursement for Mental Health Extended Stays
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 2a(1d)
- Comment period ended 6/7/2023. No comments were received.
- GCR 23-038: Non-Emergency Medical Transportation Temporary Rate Change (5/24/2023)
- Non-Emergency Medical Transportation Temporary Rate Change (3/29/2023)
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 7
- First comment period ended 4/28/2023. No comments were received.
- Second comment period ended 6/23/2023. No comments were received.
- Non-Emergency Medical Transportation Temporary Rate Change (3/29/2023)
- GCR 23-037: Clinical Diagnostic Laboratory Fee Schedule Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 2a(3)
- Comment period ended 5/1/2023. No comments were received.
- GCR 23-036: Medicaid Investment: It's Your Right Training Series
- Comment Period: 3/17/2023 - 4/17/2023
- GCR 23-035: Medicaid Investment: Customized Employment in Developmental Disabilities Services
- Comment Period: 3/17/2023 - 4/17/2023
- GCR 23-034: Medicaid Investment: Cultural and Linguistic Competence in Developmental Disabilities Services
- Comment period ended 4/17/2023. No comments were received.
- GCR 23-033: Children's Personal Care Services - Parents and Family Members
- Comment period ended 5/30/2023. One comment was received.
- GCR 23-032: Disabled Children's Home Care/Katie Beckett Institutional Level of Care
- Proposed Institutional Level of Care Tool
- Comment Period ended 4/28/2023. State response to comments can be viewed here.
- GCR 23-030: Changes to Prior Authorization Requirements - Alternative Benefit Plan Amendment (SPA 23-0019)
- Draft State Plan Amendment Pages: Alternative Benefit Plan 5 - Chiropractic, Hearing Aids, and Outpatient Rehabilitative Therapies
- Comment period ended 4/22/2023. No comments were received.
- GCR 23-028: Medicaid Investment: Sustained Home Visiting Rate Update
- Comment Period ended 4/10/23. No comments were received.
- GCR 23-027: COVID-19 Vaccines, Testing, and Treatment
- Draft State Plan Pages: Attachment 7.7-A, 7.7-B, 7.7-C and 1135 Waiver
- Comment period ended 3/17/2023. No comments were received.
- GCR 23-026: Private Nonmedical Institution Rule Update (5/2/2023)
- Private Nonmedical Institution Rule Update (3/8/2023)
- Comment period closed April 10, 2023. No comments were received.
- Private Nonmedical Institution Rule Update (3/8/2023)
- GCR 23-025: RBRVS Fee Schedule Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B page 10
- Comment period ended 4/7/2023. Comments received and the state response to comments can be viewed here.
- GCR 23-023: Medicaid Incontinence Supplies
- Comment period ended 6/12/2023. Comments received and state response can be viewed here.
- GCR 23-021: Children's Personal Care Services Rate Update
- Comment period ended 5/25/2023. No comments were received.
- GCR 23-018: Long-Acting Reversible Contraceptive Rate Update
- Comment period ended 3/1/2023. No comments were received.
- GCR 23-015: Medicaid Investment: Lund Substance Use Screening and Referral Program
- Comment period ended 6/30/2023. No comments were received.
- GCR 23-008: Vermont Medicaid Licensed Dental Therapists (SPA 23-0017 & 23-0025)
- Draft Annotated State Plan Page, Global Commitment Amended State Plan Page, and Alternative Benefit Plan page: Attachment 3.1-A page 3d(8), Attachment 4.19-B page 3a(1), and ABP5.
- Comment period ended 5/17/2023. No comments were received.