| Rule Number: |
24P005 |
| Title: |
Private Nonmedical Institution Rules Simplification. |
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Type:
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Standard |
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Status:
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Adopted |
| Agency: |
Agency of Human Services
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| Legal Authority: |
33 V.S.A. ยง 1901(a) |
| Summary:
| These rules strike all existing Division of Rate Setting rules and replace them in the Agency of Human Services' Health Care Administrative Rules. Some material, particularly language regarding which costs are allowable and how the Division applies various bonuses or penalties, is moved into a new manual. The remaining material primarily sets out the administrative process for applying for, receiving, and appealing per diem rates set by the Division. |
| Persons Affected:
| Children that reside in PNMIs; PNMI providers, including their trade association, the Vermont Coalition of Residential Providers; Other providers of mental health and residential services to children, who may be indirectly impacted by Vermont Medicaid reimbursement policy for PNMIs; Vermont state agencies that place children in PNMIs and reimburse for their care, including the Department of Mental Health, the Department for Children and Families, and the Agency of Education; and the Division of Rate Setting, which calculates and adjusts each PNMI's Medicaid rate and recommends changes to the rate-setting system. |
| Economic Impact:
| The proposed change will not have a fiscal impact. Vermont Medicaid is simultaneously proposing a new manual with raised caps on reimbursement growth for PNMI providers that will have modest impacts on the budgets of the Department of Mental Health and the Department for Children and Families. The state is seeking legislative approval for these impacts. |
| Posting date: |
Jan 24,2024 |
| Information for Contact # 1 |
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Level:
|
Primary
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| Name: |
James LaRock |
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Agency:
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Department of Vermont Health Access, Agency of Human Services
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| Address: |
NOB 1 South, 280 State Drive |
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| City: |
Waterbury |
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| State: |
VT |
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| Zip: |
05671 |
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| Telephone: |
802-241-0251 |
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| Fax: |
802-241-0260 |
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Email: |
james.larock@vermont.gov
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| Website Address: |
https://humanservices.vermont.gov/rules-policies/health-care-rules/health-care-administrative-rules-hcar
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| Information for Contact # 2 |
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Level:
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Secondary
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| Name: |
Jaime Mooney |
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Agency:
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Department of Vermont Health Access, Agency of Human Services
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| Address: |
NOB 1 South, 280 State Drive |
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| City: |
Waterbury |
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| State: |
VT |
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| Zip: |
05671 |
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| Telephone: |
802-798-2144 |
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| Fax: |
802-241-0260 |
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Email: |
jaime.mooney@vermont.gov
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