Health Benefits Eligibility and Enrollment Rules (HBEE)

The Health Benefits Eligibility and Enrollment (HBEE) rules provide the eligibility standards for Medicaid and other health care programs. Adopted and proposed HBEE rules can be found below.

HBEE Adopted Rules (by Part)
 

HBEE Part 1 - General Provisions and Definitions (*GCR 18-060 through 18-064 HBEE adopted rules (Parts 1-5, 7) were filed with the Secretary of State on 12/18/18 and are effective 1/15/19)

HBEE Part 2 - Eligibility Standards

HBEE Part 3 - Nonfinancial Eligibility Requirements

HBEE Part 4 - Special Rules for Medicaid Coverage of Long-Term Care Services

HBEE Part 5 - Financial Methodologies (*GCR 18-060 through 18-064 HBEE adopted rules (Parts 1-5, 7) were filed with the Secretary of State on 12/18/18 and are effective 1/15/19)

HBEE Part 6 - Small Employer Health-Benefits Program Rules

HBEE Part 7 - Eligibility-and-Enrollment Procedures (*GCR 18-060 through 18-064 HBEE adopted rules (Parts 1-5, 7) were filed with the Secretary of State on 12/18/18 and are effective 1/15/19)

HBEE Part 8 - State Fair Hearings and Expedited Eligibility Appeals (*GCR 18-126 adopted rule (Part 8) is effective 7/1/2019)

HBEE Rules Parts 1 - 8


Proposed HBEE Rules

There are no proposed HBEE rules open for public comment at this time. 

Annotated Rules: None

Non-Annotated Rules: None


Repealed Medicaid Rules
 

5300 VHAP - REPEALED (except retain 5321 - 5323)

4100 Medicaid - REPEALED effective 1/1/14 replaced with Health Benefits Eligibility and Enrollment

4200 Medicaid SSI - REPEALED effective 1/1/14 replaced with Health Benefits Eligibility and Enrollment

4300 Medicaid ANFC - REPEALED effective 1/1/14 replaced with Health Benefits Eligibility and Enrollment

4400 Medicaid Spenddown - REPEALED effective 1/1/14 replaced with Health Benefits Eligibility and Enrollment

Contact Information

Agency of Human Services
280 State Drive - Center Building
Waterbury, VT
802-241-0440