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Deadline For Public Comment

Deadline: Feb 21, 2025

The deadline for public comment has expired. Contact the agency or primary contact person listed below for assistance.

Rule Details

Rule Number: 24P050
Title: Guidelines for Distinguishing Between Primary and Specialty Mental Health and Substance Abuse Services.
Type: Standard
Status: Adopted
Agency: Department of Financial Regulation
Legal Authority: Act 171 of 2012, § 11e
Summary: The rule prescribes guidelines for distinguishing between “primary” and “specialty” mental health and substance abuse services. This revision designates interprofessional consulting and peer support services as "primary" mental health and substance abuse services and makes technical and stylistic changes to the rule.
Persons Affected: Department of Financial Regulation, Department of Mental Health, Department of Vermont Health Access, Blue Cross Blue Shield of Vermont, MVP Health Care, CIGNA, University of Vermont Health Network, Bi-State Primary Care, Federally Qualified Health Centers, Rural Health Centers, Vermont Psychiatric Association, the Vermont Psychological Association, designated Mental Health Agencies, practicing licensed mental health counselors, licensed clinical social workers, and licensed master’s level psychologists.
Economic Impact: The rule will change member co-payments for mental health and substance abuse services designated as “primary” when rendered by a mental health care provider. These copayments are no greater than the member co-pay applicable to medical services rendered by a primary care provider.
Posting date: Dec 18,2024

Hearing Information

Information for Hearing # 1
Hearing date:
02-12-2025 10:00 AM   
Location: Virtual Hearing via Microsoft Teams
Address: https://gcc02.safelinks.protection.outlook.com/ap/t-59584e83/?urlhttps3A2F2Fteams.microsoft.com2Fl2Fmeetup-join2F19253ameeting_YmQ0MzgzM2MtMzAzMC00NTY3LWFjYmItZTI4ZjVmYTEyODAz2540thread.v22F03Fcontext3D257b2522Tid2522253a252220b4933b-baad-433c-9c02-70edcc7559c62522252c2522Oid2522253a2522c76b5926-1029-44c1-9afe-4906b7745c252522257d&data057C027CSOS.S
City: Dial in by phone +1 802-828-7667,,650867245# United States, Montpelier Phone conference ID: 650 867 245#
State: VT
Zip: n/a
Hearing Notes: Virtually via MS Teams,Dial in by phone +1 802-828-7667,,650867245# United States, Montpelier Phone conference ID: 650 867 245# Link: https://gcc02.safelinks.protection.outlook.com/ap/t-59584e83/?urlhttps3A2F2Fteams.microsoft.com2Fl2Fmeetup-join2F19253ameeting_YmQ0MzgzM2MtMzAzMC00NTY3LWFjYmItZTI4ZjVmYTEyODAz2540thread.v22F03Fcontext3D257b2522Tid2522253a252220b4933b-baad-433c-9c02-70edcc7559c62522252c2522Oid2522253a2522c76b5926-1029-44c1-9afe-4906b7745c252522257d&data057C027CSOS.StatutoryFilings40vermont.gov7Cd9f0ab8c86014f5d361c08dd19302ae07C20b4933bbaad433c9c0270edcc7559c67C07C07C6386944168462076957CUnknown7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ3D3D7C07C7C7C&sdatazrnlTyZBk9iI3bUM2Bz0MTurvKg2dvv5T42AYA1ijJms3D&reserved0

Contact Information

Information for Contact # 1
Level: Primary    
Name: E. Sebastian Arduengo    
Agency: Department of Financial Regulation    
Address: 89 Main Street    
City: Montpelier    
State: VT    
Zip: 05620    
Telephone: 802-828-4846    
Fax: 802-828-5593    
Email: 
Sebastian.Arduengo@vermont.gov
     
 
   
Website Address:  https://dfr.vermont.gov/about-us/legal-general-counsel/proposed-rules-and-public-comment
     
 
   
Information for Contact # 2
Level: Secondary    
Name: Anna Van Fleet    
Agency: Department of Financial Regulation    
Address: 89 Main Street    
City: Montpelier    
State: VT    
Zip: 05620    
Telephone: 802-828-4843    
Fax:    
Email: 
anna.vanfleet@vermont.gov
     
 
   
       

Keyword Information

Keywords:

health insurance
mental health
primary care
equity
parity
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