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

The following final proposed HBEE rules were filed as adopted rules with the Secretary of State and the Legislative Committee on Administrative Rules (LCAR) on July 27, 2021. Please see Final GCR 20-001 through 20-005 for further details.

Please note that these rules will not go into effective until October 1, 2021.

Final Proposed Rules (GCR 20-001, 20-002, 20-004, 20-005):

 


Repealed Medicaid Rules
 

5300 VHAP - REPEALED (except retain 5321 - 5323)

4100 Medicaid - REPEALED effective 1/1/14 replaced with Health Benefits Eligibility and Enrollment

4200 Medicaid SSI - REPEALED effective 1/1/14 replaced with Health Benefits Eligibility and Enrollment

4300 Medicaid ANFC - REPEALED effective 1/1/14 replaced with Health Benefits Eligibility and Enrollment

4400 Medicaid Spenddown - REPEALED effective 1/1/14 replaced with Health Benefits Eligibility and Enrollment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