Vermont Global Commitment to Health

State:	Vermont
Waiver Authority:	1115
Status:	Approved

Waiver Dates

Approval:	09/27/2005
Effective:	10/01/2005
Expiration:	12/31/2027

Supporting Documents

Approved Application(s) and Related Documents

Date	Title
06/25/2025	Monitoring Redesign Overlay Letter (PDF, 8.53 MB)
06/02/2025	Demonstration Approval - Attachment O (PDF, 9.33 MB)

Administrative Record

Date	Title
06/02/2025	ROP Extension Amendment Final Report (PDF, 1.19 MB)
03/31/2025	Annual Monitoring Report - January 2024 – December 2024 (PDF, 2.18 MB)
03/31/2025	SMI Quarterly Metrics Report (Part A) - October 2024 - December 2024 (XLSX, 668.84 KB)
03/31/2025	SMI Quarterly Report (Part B) - October 2024 - December 2024 (PDF, 471.22 KB)
01/30/2025	State Acceptance Letter (PDF, 342.53 KB)
01/16/2025	CMS Attachment H Approval (PDF, 5.95 MB)
01/10/2025	Protocol Approval Letter (PDF, 428.06 KB)
01/02/2025	CMS Amendment Approval (PDF, 5.92 MB)
11/27/2024	Quarterly Monitoring Report - July 2024 – September 2024 (PDF, 2.94 MB)
11/27/2024	SMI Quarterly Metrics Report (Part A) - July 2024 - September 2024 (XLSX, 665.21 KB)
11/27/2024	SMI Quarterly Report (Part B) - July 2024 - September 2024 (PDF, 449.7 KB)
11/27/2024	SUD Quarterly Metrics Report (Part A) - July 2024 - September 2024 (XLSX, 544.75 KB)
11/27/2024	SUD Quarterly Report (Part B) - July 2024 - September 2024 (PDF, 312.59 KB)
09/11/2024	CMS Technical Corrections Approval (PDF, 6.04 MB)
08/29/2024	Quarterly Monitoring Report - April 2024 - June 2024 (PDF, 4.22 MB)
08/27/2024	SMI Quarterly Metrics Report (Part A) - April 2024 - June 2024 (XLSX, 664.29 KB)
08/27/2024	SMI Quarterly Report (Part B) - April 2024 - June 2024 (PDF, 479.4 KB)
08/27/2024	SUD Quarterly Metrics Report (Part A) - April 2024 - June 2024 (XLSX, 543.33 KB)
08/27/2024	SUD Quarterly Report (Part B) - April 2024 - June 2024 (PDF, 337.21 KB)
07/30/2024	State Acceptance Letter - Reentry Demonstration Initiative (PDF, 130.16 KB)
07/02/2024	CMS Amendment Approval (PDF, 5.93 MB)
05/30/2024	Quarterly Monitoring Report - January 2024 - March 2024 (PDF, 3.43 MB)
05/30/2024	SMI Quarterly Metrics Report (Part A) - January 2024 - March 2024 (XLSX, 664.33 KB)
05/30/2024	SMI Quarterly Report (Part B) - January 2024 - March 2024 (PDF, 489.23 KB)
05/30/2024	SUD Quarterly Metrics Report (Part A) - January 2024 - March 2024 (XLSX, 540.89 KB)
05/30/2024	SUD Quarterly Report (Part B) - January 2024 - March 2024 (PDF, 393.98 KB)
05/14/2024	CMS Completeness Letter (PDF, 261.06 KB)
04/30/2024	Demonstration Amendment Application (PDF, 7.04 MB)	View Comments
04/05/2024	Annual Monitoring Report (January 1, 2023 to December 31, 2023) (PDF, 3.63 MB)
04/01/2024	SMI Quarterly Metrics Report (Part A) - October 2023 - December 2023 (XLSX, 663.88 KB)
04/01/2024	SMI Quarterly Report (Part B) - October 2023 - December 2023 (PDF, 528.08 KB)
04/01/2024	SUD Quarterly Metrics Report (Part A) - October 2023 - December 2023 (XLSX, 545.68 KB)
04/01/2024	SUD Quarterly Report (Part B) - October 2023 - December 2023 (PDF, 383.93 KB)
03/22/2024	CMS Attachment P Approval (PDF, 5.69 MB)
11/29/2023	Quarterly Monitoring Report - July 2023 - September 2023 (PDF, 3.75 MB)
11/29/2023	SMI Quarterly Metrics Report (Part A) - July 2023 - September 2023 (XLSX, 669.95 KB)
11/29/2023	SMI Quarterly Report (Part B) - July 2023 - September 2023 (PDF, 551.14 KB)
11/29/2023	SUD Quarterly Metrics Report (Part A) - July 2023 - September 2023 (XLSX, 544.44 KB)
11/29/2023	SUD Quarterly Report (Part B) - July 2023 - September 2023 (PDF, 373.13 KB)
11/21/2023	CMS Attachment H Approval (PDF, 6.82 MB)
11/08/2023	Attachment K Temporary Extension (PDF, 259.72 KB)
10/11/2023	ROP Extension Amendment Evaluation Design (PDF, 608.65 KB)
09/19/2023	Children's Personal Care Services Readiness Notification (PDF, 378.71 KB)
08/29/2023	Quarterly Monitoring Report (April 1, 2023 to June 30, 2023) (PDF, 3.42 MB)
08/29/2023	SMI Quarterly Metrics Report (Part A) - April 2023 - June 2023 (XLSX, 663.93 KB)
08/29/2023	SMI Quarterly Report (Part B) - April 2023 - June 2023 (PDF, 560.16 KB)
08/29/2023	SUD Quarterly Metrics Report (Part A) - April 2023 - June 2023 (XLSX, 541.06 KB)
08/29/2023	SUD Quarterly Metrics Report (Part A) - January 2023 - March 2023 (XLSX, 541.13 KB)
08/29/2023	SUD Quarterly Report (Part B) - April 2023 - June 2023 (PDF, 313.47 KB)
08/29/2023	SUD Quarterly Report (Part B) - January 2023 - March 2023 (PDF, 385.55 KB)
05/30/2023	SMI Quarterly Metrics Report (Part A) - January 2023 - March 2023 (XLSX, 670.73 KB)
05/30/2023	SMI Quarterly Report (Part B) - January 2023 - March 2023 (PDF, 642.3 KB)
05/29/2023	Quarterly Monitoring Report (January 1, 2023 to March 31, 2023) (PDF, 3.42 MB)
03/31/2023	Annual Monitoring Report (July 1, 2022 to December 31, 2022) (PDF, 5.38 MB)
03/31/2023	SMI Quarterly Metrics Report (Part A) - October 2022 - December 2022 (XLSM, 141.4 KB)
03/31/2023	SMI Quarterly Report (Part B) - October 2022 - December 2022 (PDF, 637.89 KB)
03/31/2023	SUD Quarterly Metrics Report (Part A) - October 2022 - December 2022 (XLSX, 539.95 KB)
03/31/2023	SUD Quarterly Report (Part B) - October 2022 - December 2022 (PDF, 380.69 KB)
03/16/2023	State Acceptance Letter – ROP Amendment (PDF, 105 KB)
03/07/2023	Demonstration Approval (PDF, 5.36 MB)
03/07/2023	ROP Extension Amendment Approval (PDF, 202.16 KB)
01/12/2023	CMS Approved SMI Monitoring Protocol Part A (XLSM, 82.83 KB)
01/12/2023	CMS Approved SUD Monitoring Protocol Part A (XLSX, 149.32 KB)
01/12/2023	CMS Approved SUD and SMI/SED Monitoring Protocols (PDF, 5.03 MB)
01/04/2023	ROP Extension Application (PDF, 214.8 KB)
12/21/2022	Quarterly Operational Report - July 1, 2022 to September 30, 2022 (PDF, 3.69 MB)
11/29/2022	SMI Quarterly Metrics Report (Part A) - July 2022 - September 2022 (XLSM, 135.38 KB)
11/29/2022	SMI Quarterly Report (Part B) - July 2022 - September 2022 (PDF, 589.79 KB)
11/29/2022	SUD Quarterly Metrics Report (Part A) - July 2022 - September 2022 (XLSX, 542.81 KB)
11/29/2022	SUD Quarterly Report (Part B) - July 2022 - September 2022 (PDF, 269.1 KB)
10/12/2022	CMS Approved Technical Corrections (PDF, 2.51 MB)
09/20/2022	Quarterly Operational Report - January 2022 to March 2022 (PDF, 3.35 MB)
08/29/2022	Quarterly Operational Report - April 2022 - June 2022 (PDF, 3.33 MB)
08/29/2022	SMI Quarterly Metrics Report (Part A) - April 2022 - June 2022 (XLSM, 134.88 KB)
08/29/2022	SUD Quarterly Metrics Report (Part A) - April 2022 - June 2022 (XLSX, 542.08 KB)
06/29/2022	SMI Quarterly Metrics Report (Part A) - January 2022 - March 2022 (XLSM, 134.42 KB)
06/29/2022	SUD Quarterly Metrics Report (Part A) - January 2022 - March 2022 (XLSX, 541.71 KB)
06/28/2022	CMS Approved Investments (PDF, 428.86 KB)
06/28/2022	CMS Extension Approval (PDF, 20.93 MB)
05/26/2022	CMS Approved Investments – Attachment H (PDF, 300.69 KB)
05/04/2022	CMS Approved Investments – Attachment H (PDF, 197.69 KB)
04/25/2022	Annual Operational Report (January 2021 to December 2021) (PDF, 2.98 MB)
04/21/2022	SMI Quarterly Metrics Report (Part A) - October 2021 - December 2021 (XLSM, 134.09 KB)
04/01/2022	Retrospective SMI Quarterly Metrics Report (Part A) - April 2020 - September 2021 (XLSX, 212.93 KB)
04/01/2022	SUD Quarterly Metrics Report (Part A) - October 2021 - December 2021 (XLSX, 541.57 KB)
02/24/2022	CMS Appendix K Approval (PDF, 536.91 KB)
12/17/2021	CMS Temporary Extension Approval (PDF, 4.38 MB)
12/10/2021	Quarterly Operational Report - July 2021 - September 2021 (PDF, 4.31 MB)
11/29/2021	Retrospective SUD Quarterly Metrics Report (Part A) - April 2018 - March 2021 (XLSX, 5.61 MB)
11/29/2021	SUD Quarterly Metrics Report (Part A) - July 2021 - September 2021 (XLSX, 542.52 KB)
09/09/2021	SUD Quarterly Metrics Report (Part A) - April 2021 - June 2021 (XLSX, 104.14 KB)
08/30/2021	Quarterly Operational Report - April 2021 - June 2021 (PDF, 4.09 MB)
07/08/2021	Extension Completeness Letter (PDF, 284.37 KB)
06/29/2021	State Extension Application (PDF, 17.37 MB)	View Comments
06/01/2021	CMS Approved Interim Evaluation Report (PDF, 3.1 MB)
05/28/2021	Quarterly Operational Report - January 2021 - March 2021 (PDF, 3.31 MB)
04/01/2021	State Annual Report January-December 2020 (PDF, 4.03 MB)
03/29/2021	CMS Approval - COVID-19 PHE Evaluation Design (PDF, 4.96 MB)
03/29/2021	CMS Approved Monitoring Protocol (Part A) (XLSM, 130.54 KB)
03/29/2021	CMS Approved Monitoring Protocol (Part B) (PDF, 409.89 KB)
03/29/2021	COVID-19 PHE Evaluation Design (PDF, 468.59 KB)
03/29/2021	SMI Evaluation Design Approval Letter (PDF, 267.44 KB)
03/29/2021	STCs with SMI Evaluation Design (PDF, 3.77 MB)
01/13/2021	CMS Approved IMD Phase-Down (PDF, 2.47 MB)
12/15/2020	SUD Mid-Point Assessment (PDF, 1.23 MB)
12/04/2020	State Quarterly Operational Report July-September 2020 (PDF, 3.28 MB)
12/03/2020	CMS Approval - COVID-19 PHE Amendment (PDF, 2.31 MB)
09/10/2020	CMS Approved Delivery System Investments - Attachment H (PDF, 248.94 KB)
06/08/2020	CMS – Approved Attachment G (PDF, 500.63 KB)
05/22/2020	CMS Approved Emergency Preparedness and Response Attachment R (PDF, 607.34 KB)
03/31/2020	State COVID-19 Application (PDF, 288.18 KB)
02/10/2020	CMS Approved SUD Monitoring Protocol (Alignment Form) (PDF, 264.76 KB)
01/28/2020	CMS Technical Corrections (PDF, 3.06 MB)
12/19/2019	CMS Approved Attachment F (PDF, 786.19 KB)
12/12/2019	CMS Approval of VT 2020 Delivery System Investments (PDF, 726.23 KB)
12/05/2019	CMS Approved Demonstration Amendment (PDF, 3.19 MB)
11/15/2019	Quarterly Report July-September 2019 (PDF, 4.12 MB)
09/17/2019	CMS Approved VT SUD Monitoring Protocol (PDF, 827.88 KB)
09/17/2019	CMS approved SUD Monitoring Protocol (PDF, 2.89 MB)
09/17/2019	Demonstration Amendment Application (PDF, 3.18 MB)	View Comments
08/29/2019	Quarterly Budget Neutrality Report April-June 2019 (XLSX, 190.98 KB)
08/29/2019	Quarterly Report April-June 2019 (PDF, 3.89 MB)
06/19/2019	CMS Approved 1115 Evaluation Design (PDF, 1.17 MB)
05/30/2019	Quarterly Report January-March 2019 (PDF, 3.44 MB)
05/30/2019	State Budget Neutrality January-March 2019 (XLSX, 181.73 KB)
03/28/2019	Annual Report 2018 (PDF, 3.66 MB)
12/31/2018	Phase-Down Plan for Vermont Psychiatric Care Hospital and IMD Expenditures (PDF, 356.17 KB)
11/28/2018	Quarterly Report July-September 2018 (PDF, 3.82 MB)
11/28/2018	State Budget Neutrality July-September 2018 (XLSX, 655.63 KB)
09/27/2018	CMS Approved Technical Corrections (PDF, 3.36 MB)
06/06/2018	CMS Approval - Demonstration Amendment June 2018 (PDF, 1.86 MB)
05/29/2018	Quarterly Report January-March 2018 (PDF, 2.6 MB)
03/30/2018	Interim Evaluation Report of IMD Expenditures (PDF, 1.52 MB)
03/29/2018	Annual Report 2017 (PDF, 3.3 MB)
03/08/2018	VT Evaluation Design Approval (PDF, 1.98 MB)
02/06/2018	VT SUD Amendment Request (PDF, 965.91 KB)
01/29/2018	VT SUD Amendment Request (PDF, 1.33 MB)	View Comments
11/28/2017	Quarterly Report July-September 2017 (PDF, 3.18 MB)
11/21/2017	Vermont Approval Letter for Delivery System Investments (11/21/2017) (PDF, 1.51 MB)
08/29/2017	Quarterly Report April-June 2017 (PDF, 4.55 MB)
06/12/2017	Quarterly Report January-March 2017 (PDF, 4.57 MB)
05/21/2017	CMS Approved Technical Correction (PDF, 508.16 KB)
05/21/2017	Special Terms and Conditions (01/01/2017-12/31/2021) (PDF, 573.13 KB)
03/27/2017	Annual Report 2016 (PDF, 4.36 MB)
02/23/2017	Technical Corrections Request (2/23/2017) (PDF, 177.64 KB)
11/30/2016	Quarterly Report July-September 2016 (11/30/2016) (PDF, 3.19 MB)
11/18/2016	Extension Acceptance Letter (11/18/2016) (PDF, 257.05 KB)
10/24/2016	VT Extension Approval (PDF, 603.12 KB)
08/31/2016	Quarterly Report April-June 2016 (PDF, 2.4 MB)
06/14/2016	CMS Denial of State 1115(e) Request (06/14/2016) (PDF, 109.53 KB)
05/31/2016	Quarterly Report January - March 2016 (05/31/2016) (PDF, 2.41 MB)
01/06/2016	CMS Completeness Letter (01/06/2016) (PDF, 73.13 KB)
12/21/2015	Vermont Extension Application (12/21/2015) (PDF, 2.32 MB)	View Comments
05/29/2015	GC Quarterly Report Jan-Mar 2015 (05/29/2015) (PDF, 1.44 MB)
04/01/2015	GC Annual Report 2014 (04/01/2015) (PDF, 785.16 KB)
03/04/2015	Companion Aide Acceptance Letter (03/04/15) (PDF, 38.22 KB)
02/27/2015	GC Quarterly Report Oct-Dec 2014 (02/27/2015) (PDF, 1.64 MB)
02/27/2015	Vermont Companion Aide Pilot Project – STC Attachment H Approval (PDF, 91.03 KB)
02/12/2015	Acceptance Letter (02/12/15) (PDF, 150.67 KB)
01/30/2015	CMS Approval - Demonstration Amendment 2015 (01/30/2015) (PDF, 444.25 KB)
01/01/2014	Section 1115(a) Demo Waiver Extension Request to CMS (01/01/14-12/31/18) (Submitted April 2013 Revis (PDF, 2.51 MB)
10/02/2013	Current Approval (10/02/2013) (PDF, 312.91 KB)
06/05/2013	Letter of Complete App Approval (06/05/13) (PDF, 712.38 KB)
04/30/2013	Interim Program Evaluation (April 2013) (PDF, 1.67 MB)
04/23/2013	Letter Requesting Extension of 1115 Demo (04/23/13) (PDF, 780.36 KB)
06/27/2012	Approval of Amendment Letter (06/27/12) (PDF, 656.14 KB)
05/14/2012	Letter of Proposal (05/14/12) (PDF, 667.11 KB)
01/01/2011	Expenditure Authority (01/01/11-12/31/13) (PDF, 616.36 KB)
01/01/2011	Special Terms and Conditions (01/01/11-12/31/13) (PDF, 832.35 KB)
01/01/2011	Waiver Authority (01/01/11-12/31/13) (PDF, 614.54 KB)
	Proposed Modifications to Cost Sharing Table (PDF, 655.86 KB)
	Public Comments (PDF, 89.74 KB)

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