Medicaid State Plan Amendments

Substance Using Pregnant People - name change from Chemically Using Pregnant Women

This amendment is to remove the High Fidelity Wrap-a-round (HFW) language from the Health Home SPA since it will now be a part of a new 1115 to prevent duplication of services.

This SPA provides temporary rate adjustments for long term care providers who are undergoing closures, mergers, consolidations, acquisitions, or restructuring themselves.

This SPA provides Vermont with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

This SPA provides Vermont with approval to exempt individuals in the extended postpartum period from cost sharing.

Updates Outpatient Hospital Services payment information by removing references to Outpatient Hospital Rates as a payment method under Outpatient Prospective Payment System (OPPS). This method is outdated and no longer used.

This plan amendment implements a 4% rate increase for the Developmental Disabilities Administration Targeted Case Management (DDA TCM) program.

This SPA updated the reimbursement methodology for hospice services when quality data is not submitted by a provider.

This amendment is to update the coverage provisions concerning extended services for pregnant women to align with the expansion of post-partum coverage approved in SPA 22-0008.

This amendment proposes to allow the Division of Medicaid (DOM) to remove copays from Medicaid services.