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 25-009: Health Care Administrative Rules Update: Person Centered Planning and Critical Incident Management System
- Comment Period: 12/4/24 - 1/17/25
- GCR 24-147: Change to MAGI-based Financial Eligibility for Current Medicaid Beneficiaries (SPA 25-0002)
- Draft MAGI Based Methodologies Reviewable Unit (State Plan pages)
- Comment Period: 12/19/2024 - 1/20/2025
- GCR 24-124: COVID-19 Vaccine and Emergency Use Drug Coverage Changes
- Comment Period: 11/22/24 - 12/23/24
- GCR 24-117: Health Care Administrative Rules Update - Filling 22 (12/02/24)
- Health Care Administrative Rules Update - Filing 22 (09/17/24)
- The Agency of Human Services has filed the following proposed rules:
- 4.202 Dental Services
- 4.203 Repeal: Dental Services for Beneficiaries Under Age 21
- 4.204 Repeal: Medical and Surgical Services of a Dentist
- 4.205 Repeal: Orthodontic Treatment Rule
- 4.220 Chiropractic Services Rule
- Comment period ended on 10/28/24. No comments were received.
- The Agency of Human Services has filed the following proposed rules:
- Health Care Administrative Rules Update - Filing 22 (09/17/24)
- GCR 24-116: Payment Schedule for Graduate Medical Education (9/24/24)
- Payment Schedule for Graduate Medical Education (9/10/24)
- Draft Global Commitment Amended State Plan Pages: Att 4.19-A Page 1c-11(a) and Att 4.19-B Page 3
- Comment Period: 09/10/2024 to 10/10/2024
- Payment Schedule for Graduate Medical Education (9/10/24)
- GCR 24-111: Post Permanency Services Rate Increase
- Draft State Plan pages: Supplement 1 to Attachment 3.1-A
- Comment Period: 9/30/2024 - 10/30/2024
- GCR 24-109: Medicaid Investment: Disabilities Services and Brain Injury Program Case Management Transition Grants
- Comment Period: 9/30/2024 - 10/30/2024
- 24-106: Inpatient Prospective Payment System Update
- Draft Global Commitment Amended State Plan Pages:
- Comment Period: 12/04/2024 to 01/04/2025
- GCR 24-105: Health Care Administrative Rule Update - Prior Authorization
- Comment Period: 8/8/24 - 9/18/24
- GCR 24-103: Electronic Visit Verification DAIL Home Based Services-Claims Monitoring
- Comment Period: 11/27/24 - 12/27/24
- GCR 24-102: Coverage Change for COVID-19 At-Home Over-the-Counter-Tests
- Comment period ended 9/24/2024. Comments and State Response can be viewed here.
- GCR 24-100: Medicaid Investment: Support Service Provider Program
- Comment Period 08/30/24 to 09/30/24
- GCR 24-086: Health Care Administrative Rule Update - Ambulance Services and Beneficiary Protections and Responsibilities (8/23/24)
- Health Care Administrative Rule Update - Ambulance Services and Beneficiary Protections and Responsibilities (7/3/24)
- Comment period ended 08/14/24. No comments were received.
- Health Care Administrative Rule Update - Ambulance Services and Beneficiary Protections and Responsibilities (7/3/24)
- GCR 24-085: Mental Health Case Rate Increase
- Comment period ended 07/28/24. No comments were received.
- GCR 24-080: Medicaid Investment: Nutritious Meals for Older Adults in Need
- Comment Period: 08/01/24 to 08/31/24
- GCR 24-079: Department of Disabilities, Aging, and Independent Living Rate Increases
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B Page 5a
- Comment Period: 06/28/24 - 07/28/24
- GCR 24-075 to 24-077: Health Benefits Eligibility and Enrollment (HBEE) Rule Update (11/13/2024)
- Health Benefits Eligibility and Enrollment (HBEE) Rule Update (9/3/2024)
- Comment period ended October 11, 2024. No comments were received.
- Rules included:
- HBEE Part 2 - Eligibility Standards
- HBEE Part 3 - Nonfinancial Eligibility Requirements
- HBEE Part 7 - Eligibility-and-Enrollment Procedures
- Health Benefits Eligibility and Enrollment (HBEE) Rule Update (9/3/2024)
- GCR 24-073: Medicaid Assistive Community Care Services Reimbursement
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B Page 5a
- Comment period ended 7/26/2024. No comments were received.
- GCR 24-072: Hospice Services Rate Changes
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B Page 6
- Comment period ended 7/26/2024. No comments were received.
- GCR 24-070: Home Health, High Technology Nursing, & Pediatric Palliative Care Rate Changes
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B Page 3a and Attachment 4.19-B Page 3a(1)
- Comment period ended 7/26/2024. No comments were received.
- GCR 24-069: Department of Mental Health Fee-For-Service Rate Increase
- Comment period ended 07/28/24. No comments received.
- GCR 24-068: Non-Emergency Medical Transportation (NEMT) Annual Rate Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B Page 7
- Comment period ended 7/27/24. No comments were received.
- GCR 24-067: Rate Increase for Community-Based Mobile Crisis Services
- Comment period ended on 07/28/2024. No comments were received.
- GCR 24-066: Rate Increase for Second Spring Residential Facilities
- Comment period ended 07/28/24. No comments were received.
- GCR 24-065: Ambulance Services Rate Update
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B Page 7
- Comment period ended 7/26/24. No comments were received.
- GCR 24-064: Permanent Supportive Housing Assistance Benefit
- Comment Period: 11/18/2024 to 12/18/2024
- GCR 24-060: Physical Therapy, Occupational Therapy, and Speech/Language Therapy Changes
- Draft State Plan pages: Attachment 3.1-A Page 4e
- Comment Period: 11/18/2024 - 12/18/2024
- GCR 24-058: Non-Emergency Transportation Temporary Rate Increase
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B Page 7
- Comment period ended 6/30/2024. No comments were received.
- GCR 24-057: Medicaid Investment: Choices for Care Case Management Transition Grants
- Comment Period: 7/2/24 - 7/31/24
- GCR 24-056: Sleep Study Prior Authorization Change
- Comment period ended 7/24/2024. No comments were received.
- GCR 24-055: Border Hospital Peer Group Prospective Payments
- Draft Global Commitment Amended State Plan Pages: Attachment 4.19-A page 1c-10; Attachment 4.19-B page 1a and page 2a(1a)
- Comment period ended 7/20/2024. No comments were received.
- GCR 24-054: High Technology Nursing Program Payment Model
- Comment Period: 12/4/24 - 1/4/25
- GCR 24-053: Electronic Visit Verification DAIL Home Based Services
- Comment period ended 6/21/2024. No comments were received.
- GCR 24-051: Prescription Drug Importation During Shortages
- Draft Global Commitment Amended State Plan Page: Att 3.1-A pg 5b
- Comment period ended 07/13/2024. No comments were received.
- GCR 24-044: Non-Emergency Transportation Temporary Rate Increase
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B Page 7
- Comment period ended 6/3/2024. No comments were received.
- GCR 24-041: Medicaid Investment: Bennington Vermont Hub
- Comment period ended 6/30/2024. No comments were received.
- GCR 24-035: Orthodontic Benefit Changes
- Comment period ended 10/26/2024. No comments were received.
- GCR 24-033: Wheelchair Component Prior Authorization Change
- Comment period ended 9/5/2024. No comments were received.
- GCR 24-032: Change Healthcare Outage—Pharmacy Enhanced Dispensing Fee
- Draft Global Commitment Amended State Plan Page: Attachment 4.19-B Page 4a
- Comment period ended 06/21/2024. No comments were received.
- GCR 24-031: Choices for Care Case Manager Recruitment Grants
- Comment Period: 4/5/2024 - 5/5/2024
- GCR 24-030: Radiofrequency Ablation Coverage
- Comment period ended 6/20/2024.No comments were received.
- GCR 24-029: Change Healthcare Outage - Medicaid Response
- Draft Global Commitment Amended State Plan page: Attachment 4.19 Introduction
- Draft State Plan Amendment page: Template G2a
- Comment period ended 4/29/2024. No comments were received.
- GCR 24-028: Global Commitment to Health Demonstration Amendment Request: Public Notice
- Comment period ended 4/19/24. Comments received can be found in the 2024 Global Commitment waiver application.
- GCR 24-024: Rate Increase for Northeastern Family Institute (NFI)
- Comment period ended 07/28/24. No comments were received.
- GCR 24-022: Dental Imaging Prior Authorization Change
- Comment period ended 6/7/24. No comments were received.
- GCR 24-020: Transcranial Magnetic Stimulation Prior Authorization Change
- Comment period ended 5/1/2024. No comments were received.
- GCR 24-018: Developmental Services and Brain Injury Programs - Legally Responsible Individuals
- Comment period ended 4/15/2024. State response to comments can be viewed here.
- GCR 24-017: Medicaid Investment: Hub Service Expansion
- Comment period ended 6/29/2024. No comments were received.
- GCR 24-014: Choices for Care Case Management, Adult Family Care, and Flexible Choices Base Rate Increase
- Comment Period: 3/20/2024 - 4/20/2024
- GCR 24-012: Concurrent Education Rehabilitation & Treatment (CERT) Program
- Comment period ended 07/28/24. No comments were received.
- GCR 24-011: Long-Acting Reversible Contraceptive Rate Update
- Comment period ended 3/29/24. No comments were received.
- GCR 24-010: HUB Per Member Per Month Rate Increase
- Comment period ended 5/29/2024. No comments were received.
- GCR 24-009: Medicaid Investment: Blueprint for Health Spoke Expansion
- Comment period ended 06/30/2024. No comments were received.
- GCR 24-006: Reimbursement for Federally Qualified Health Centers and Rural Health Clinics
- Global Commitment Amended State Plan Page: Attachment 4.19-B page 2a(2)
- Comment period ended 3/20/2024. One comment was received.
- GCR 24-004: Medicaid Global Payment Program - Hospitals
- Comment Period: 06/28/2024 - 07/28/2024
- GCR 24-003: Health Care Administrative Rules Update: Private Nonmedical Institutions and Long-Term Care Rules (3/20/24)
- Health Care Administrative Rules Update: Private Nonmedical Institutions and Long-Term Care Rules (1/24/24)
- Comment period ended 2/15/2024. State responsiveness summary can be viewed here.
- Health Care Administrative Rules Update: Private Nonmedical Institutions and Long-Term Care Rules (1/24/24)
- GCR 24-001: Children's Integrated Services Eligibility Screening and Referral
- Comment period ended 5/27/2024. No comments were received.
To access the final policies and policy clarifications in the Global Commitment Register, click here.