Skip to main content

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)

Administrative Record

Date Title View
06/02/2025 Demonstration Approval - Attachment O (PDF, 9.33 MB) Comments link not available
06/02/2025 ROP Extension Amendment Final Report (PDF, 1.19 MB) Comments link not available
03/31/2025 Annual Monitoring Report - January 2024 – December 2024 (PDF, 2.18 MB) Comments link not available
03/31/2025 SMI Quarterly Metrics Report (Part A) - October 2024 - December 2024 (XLSX, 668.84 KB) Comments link not available
03/31/2025 SMI Quarterly Report (Part B) - October 2024 - December 2024 (PDF, 471.22 KB) Comments link not available
01/30/2025 State Acceptance Letter (PDF, 342.53 KB) Comments link not available
01/16/2025 CMS Attachment H Approval (PDF, 5.95 MB) Comments link not available
01/10/2025 Protocol Approval Letter (PDF, 428.06 KB) Comments link not available
01/02/2025 CMS Amendment Approval (PDF, 5.92 MB) Comments link not available
11/27/2024 Quarterly Monitoring Report - July 2024 – September 2024 (PDF, 2.94 MB) Comments link not available
11/27/2024 SMI Quarterly Metrics Report (Part A) - July 2024 - September 2024 (XLSX, 665.21 KB) Comments link not available
11/27/2024 SMI Quarterly Report (Part B) - July 2024 - September 2024 (PDF, 449.7 KB) Comments link not available
11/27/2024 SUD Quarterly Metrics Report (Part A) - July 2024 - September 2024 (XLSX, 544.75 KB) Comments link not available
11/27/2024 SUD Quarterly Report (Part B) - July 2024 - September 2024 (PDF, 312.59 KB) Comments link not available
09/11/2024 CMS Technical Corrections Approval (PDF, 6.04 MB) Comments link not available
08/29/2024 Quarterly Monitoring Report - April 2024 - June 2024 (PDF, 4.22 MB) Comments link not available
08/27/2024 SMI Quarterly Metrics Report (Part A) - April 2024 - June 2024 (XLSX, 664.29 KB) Comments link not available
08/27/2024 SMI Quarterly Report (Part B) - April 2024 - June 2024 (PDF, 479.4 KB) Comments link not available
08/27/2024 SUD Quarterly Metrics Report (Part A) - April 2024 - June 2024 (XLSX, 543.33 KB) Comments link not available
08/27/2024 SUD Quarterly Report (Part B) - April 2024 - June 2024 (PDF, 337.21 KB) Comments link not available
07/30/2024 State Acceptance Letter - Reentry Demonstration Initiative (PDF, 130.16 KB) Comments link not available
07/02/2024 CMS Amendment Approval (PDF, 5.93 MB) Comments link not available
05/30/2024 Quarterly Monitoring Report - January 2024 - March 2024 (PDF, 3.43 MB) Comments link not available
05/30/2024 SMI Quarterly Metrics Report (Part A) - January 2024 - March 2024 (XLSX, 664.33 KB) Comments link not available
05/30/2024 SMI Quarterly Report (Part B) - January 2024 - March 2024 (PDF, 489.23 KB) Comments link not available
05/30/2024 SUD Quarterly Metrics Report (Part A) - January 2024 - March 2024 (XLSX, 540.89 KB) Comments link not available
05/30/2024 SUD Quarterly Report (Part B) - January 2024 - March 2024 (PDF, 393.98 KB) Comments link not available
05/14/2024 CMS Completeness Letter (PDF, 261.06 KB) Comments link not available
04/30/2024 Demonstration Amendment Application (PDF, 7.04 MB) View Comments for Demonstration Amendment Application
04/05/2024 Annual Monitoring Report (January 1, 2023 to December 31, 2023) (PDF, 3.63 MB) Comments link not available
04/01/2024 SMI Quarterly Metrics Report (Part A) - October 2023 - December 2023 (XLSX, 663.88 KB) Comments link not available
04/01/2024 SMI Quarterly Report (Part B) - October 2023 - December 2023 (PDF, 528.08 KB) Comments link not available
04/01/2024 SUD Quarterly Metrics Report (Part A) - October 2023 - December 2023 (XLSX, 545.68 KB) Comments link not available
04/01/2024 SUD Quarterly Report (Part B) - October 2023 - December 2023 (PDF, 383.93 KB) Comments link not available
03/22/2024 CMS Attachment P Approval (PDF, 5.69 MB) Comments link not available
11/29/2023 Quarterly Monitoring Report - July 2023 - September 2023 (PDF, 3.75 MB) Comments link not available
11/29/2023 SMI Quarterly Metrics Report (Part A) - July 2023 - September 2023 (XLSX, 669.95 KB) Comments link not available
11/29/2023 SMI Quarterly Report (Part B) - July 2023 - September 2023 (PDF, 551.14 KB) Comments link not available
11/29/2023 SUD Quarterly Metrics Report (Part A) - July 2023 - September 2023 (XLSX, 544.44 KB) Comments link not available
11/29/2023 SUD Quarterly Report (Part B) - July 2023 - September 2023 (PDF, 373.13 KB) Comments link not available
11/21/2023 CMS Attachment H Approval (PDF, 6.82 MB) Comments link not available
11/08/2023 Attachment K Temporary Extension (PDF, 259.72 KB) Comments link not available
10/11/2023 ROP Extension Amendment Evaluation Design (PDF, 608.65 KB) Comments link not available
09/19/2023 Children's Personal Care Services Readiness Notification (PDF, 378.71 KB) Comments link not available
08/29/2023 Quarterly Monitoring Report (April 1, 2023 to June 30, 2023) (PDF, 3.42 MB) Comments link not available
08/29/2023 SMI Quarterly Metrics Report (Part A) - April 2023 - June 2023 (XLSX, 663.93 KB) Comments link not available
08/29/2023 SMI Quarterly Report (Part B) - April 2023 - June 2023 (PDF, 560.16 KB) Comments link not available
08/29/2023 SUD Quarterly Metrics Report (Part A) - April 2023 - June 2023 (XLSX, 541.06 KB) Comments link not available
08/29/2023 SUD Quarterly Metrics Report (Part A) - January 2023 - March 2023 (XLSX, 541.13 KB) Comments link not available
08/29/2023 SUD Quarterly Report (Part B) - April 2023 - June 2023 (PDF, 313.47 KB) Comments link not available
08/29/2023 SUD Quarterly Report (Part B) - January 2023 - March 2023 (PDF, 385.55 KB) Comments link not available
05/30/2023 SMI Quarterly Metrics Report (Part A) - January 2023 - March 2023 (XLSX, 670.73 KB) Comments link not available
05/30/2023 SMI Quarterly Report (Part B) - January 2023 - March 2023 (PDF, 642.3 KB) Comments link not available
05/29/2023 Quarterly Monitoring Report (January 1, 2023 to March 31, 2023) (PDF, 3.42 MB) Comments link not available
03/31/2023 Annual Monitoring Report (July 1, 2022 to December 31, 2022) (PDF, 5.38 MB) Comments link not available
03/31/2023 SMI Quarterly Metrics Report (Part A) - October 2022 - December 2022 (XLSM, 141.4 KB) Comments link not available
03/31/2023 SMI Quarterly Report (Part B) - October 2022 - December 2022 (PDF, 637.89 KB) Comments link not available
03/31/2023 SUD Quarterly Metrics Report (Part A) - October 2022 - December 2022 (XLSX, 539.95 KB) Comments link not available
03/31/2023 SUD Quarterly Report (Part B) - October 2022 - December 2022 (PDF, 380.69 KB) Comments link not available
03/16/2023 State Acceptance Letter – ROP Amendment (PDF, 105 KB) Comments link not available
03/07/2023 Demonstration Approval (PDF, 5.36 MB) Comments link not available
03/07/2023 ROP Extension Amendment Approval (PDF, 202.16 KB) Comments link not available
01/12/2023 CMS Approved SMI Monitoring Protocol Part A (XLSM, 82.83 KB) Comments link not available
01/12/2023 CMS Approved SUD Monitoring Protocol Part A (XLSX, 149.32 KB) Comments link not available
01/12/2023 CMS Approved SUD and SMI/SED Monitoring Protocols (PDF, 5.03 MB) Comments link not available
01/04/2023 ROP Extension Application (PDF, 214.8 KB) Comments link not available
12/21/2022 Quarterly Operational Report - July 1, 2022 to September 30, 2022 (PDF, 3.69 MB) Comments link not available
11/29/2022 SMI Quarterly Metrics Report (Part A) - July 2022 - September 2022 (XLSM, 135.38 KB) Comments link not available
11/29/2022 SMI Quarterly Report (Part B) - July 2022 - September 2022 (PDF, 589.79 KB) Comments link not available
11/29/2022 SUD Quarterly Metrics Report (Part A) - July 2022 - September 2022 (XLSX, 542.81 KB) Comments link not available
11/29/2022 SUD Quarterly Report (Part B) - July 2022 - September 2022 (PDF, 269.1 KB) Comments link not available
10/12/2022 CMS Approved Technical Corrections (PDF, 2.51 MB) Comments link not available
09/20/2022 Quarterly Operational Report - January 2022 to March 2022 (PDF, 3.35 MB) Comments link not available
08/29/2022 Quarterly Operational Report - April 2022 - June 2022 (PDF, 3.33 MB) Comments link not available
08/29/2022 SMI Quarterly Metrics Report (Part A) - April 2022 - June 2022 (XLSM, 134.88 KB) Comments link not available
08/29/2022 SUD Quarterly Metrics Report (Part A) - April 2022 - June 2022 (XLSX, 542.08 KB) Comments link not available
06/29/2022 SMI Quarterly Metrics Report (Part A) - January 2022 - March 2022 (XLSM, 134.42 KB) Comments link not available
06/29/2022 SUD Quarterly Metrics Report (Part A) - January 2022 - March 2022 (XLSX, 541.71 KB) Comments link not available
06/28/2022 CMS Approved Investments (PDF, 428.86 KB) Comments link not available
06/28/2022 CMS Extension Approval (PDF, 20.93 MB) Comments link not available
05/26/2022 CMS Approved Investments – Attachment H (PDF, 300.69 KB) Comments link not available
05/04/2022 CMS Approved Investments – Attachment H (PDF, 197.69 KB) Comments link not available
04/25/2022 Annual Operational Report (January 2021 to December 2021) (PDF, 2.98 MB) Comments link not available
04/21/2022 SMI Quarterly Metrics Report (Part A) - October 2021 - December 2021 (XLSM, 134.09 KB) Comments link not available
04/01/2022 Retrospective SMI Quarterly Metrics Report (Part A) - April 2020 - September 2021 (XLSX, 212.93 KB) Comments link not available
04/01/2022 SUD Quarterly Metrics Report (Part A) - October 2021 - December 2021 (XLSX, 541.57 KB) Comments link not available
02/24/2022 CMS Appendix K Approval (PDF, 536.91 KB) Comments link not available
12/17/2021 CMS Temporary Extension Approval (PDF, 4.38 MB) Comments link not available
12/10/2021 Quarterly Operational Report - July 2021 - September 2021 (PDF, 4.31 MB) Comments link not available
11/29/2021 Retrospective SUD Quarterly Metrics Report (Part A) - April 2018 - March 2021 (XLSX, 5.61 MB) Comments link not available
11/29/2021 SUD Quarterly Metrics Report (Part A) - July 2021 - September 2021 (XLSX, 542.52 KB) Comments link not available
09/09/2021 SUD Quarterly Metrics Report (Part A) - April 2021 - June 2021 (XLSX, 104.14 KB) Comments link not available
08/30/2021 Quarterly Operational Report - April 2021 - June 2021 (PDF, 4.09 MB) Comments link not available
07/08/2021 Extension Completeness Letter (PDF, 284.37 KB) Comments link not available
06/29/2021 State Extension Application (PDF, 17.37 MB) View Comments for State Extension Application
06/01/2021 CMS Approved Interim Evaluation Report (PDF, 3.1 MB) Comments link not available
05/28/2021 Quarterly Operational Report - January 2021 - March 2021 (PDF, 3.31 MB) Comments link not available
04/01/2021 State Annual Report January-December 2020 (PDF, 4.03 MB) Comments link not available
03/29/2021 CMS Approval - COVID-19 PHE Evaluation Design (PDF, 4.96 MB) Comments link not available
03/29/2021 CMS Approved Monitoring Protocol (Part A) (XLSM, 130.54 KB) Comments link not available
03/29/2021 CMS Approved Monitoring Protocol (Part B) (PDF, 409.89 KB) Comments link not available
03/29/2021 COVID-19 PHE Evaluation Design (PDF, 468.59 KB) Comments link not available
03/29/2021 SMI Evaluation Design Approval Letter (PDF, 267.44 KB) Comments link not available
03/29/2021 STCs with SMI Evaluation Design (PDF, 3.77 MB) Comments link not available
01/13/2021 CMS Approved IMD Phase-Down (PDF, 2.47 MB) Comments link not available
12/15/2020 SUD Mid-Point Assessment (PDF, 1.23 MB) Comments link not available
12/04/2020 State Quarterly Operational Report July-September 2020 (PDF, 3.28 MB) Comments link not available
12/03/2020 CMS Approval - COVID-19 PHE Amendment (PDF, 2.31 MB) Comments link not available
09/10/2020 CMS Approved Delivery System Investments - Attachment H (PDF, 248.94 KB) Comments link not available
06/08/2020 CMS – Approved Attachment G (PDF, 500.63 KB) Comments link not available
05/22/2020 CMS Approved Emergency Preparedness and Response Attachment R (PDF, 607.34 KB) Comments link not available
03/31/2020 State COVID-19 Application (PDF, 288.18 KB) Comments link not available
02/10/2020 CMS Approved SUD Monitoring Protocol (Alignment Form) (PDF, 264.76 KB) Comments link not available
01/28/2020 CMS Technical Corrections (PDF, 3.06 MB) Comments link not available
12/19/2019 CMS Approved Attachment F (PDF, 786.19 KB) Comments link not available
12/12/2019 CMS Approval of VT 2020 Delivery System Investments (PDF, 726.23 KB) Comments link not available
12/05/2019 CMS Approved Demonstration Amendment (PDF, 3.19 MB) Comments link not available
11/15/2019 Quarterly Report July-September 2019 (PDF, 4.12 MB) Comments link not available
09/17/2019 CMS Approved VT SUD Monitoring Protocol (PDF, 827.88 KB) Comments link not available
09/17/2019 CMS approved SUD Monitoring Protocol (PDF, 2.89 MB) Comments link not available
09/17/2019 Demonstration Amendment Application (PDF, 3.18 MB) View Comments for Demonstration Amendment Application
08/29/2019 Quarterly Budget Neutrality Report April-June 2019 (XLSX, 190.98 KB) Comments link not available
08/29/2019 Quarterly Report April-June 2019 (PDF, 3.89 MB) Comments link not available
06/19/2019 CMS Approved 1115 Evaluation Design (PDF, 1.17 MB) Comments link not available
05/30/2019 Quarterly Report January-March 2019 (PDF, 3.44 MB) Comments link not available
05/30/2019 State Budget Neutrality January-March 2019 (XLSX, 181.73 KB) Comments link not available
03/28/2019 Annual Report 2018 (PDF, 3.66 MB) Comments link not available
12/31/2018 Phase-Down Plan for Vermont Psychiatric Care Hospital and IMD Expenditures (PDF, 356.17 KB) Comments link not available
11/28/2018 Quarterly Report July-September 2018 (PDF, 3.82 MB) Comments link not available
11/28/2018 State Budget Neutrality July-September 2018 (XLSX, 655.63 KB) Comments link not available
09/27/2018 CMS Approved Technical Corrections (PDF, 3.36 MB) Comments link not available
06/06/2018 CMS Approval - Demonstration Amendment June 2018 (PDF, 1.86 MB) Comments link not available
05/29/2018 Quarterly Report January-March 2018 (PDF, 2.6 MB) Comments link not available
03/30/2018 Interim Evaluation Report of IMD Expenditures (PDF, 1.52 MB) Comments link not available
03/29/2018 Annual Report 2017 (PDF, 3.3 MB) Comments link not available
03/08/2018 VT Evaluation Design Approval (PDF, 1.98 MB) Comments link not available
02/06/2018 VT SUD Amendment Request (PDF, 965.91 KB) Comments link not available
01/29/2018 VT SUD Amendment Request (PDF, 1.33 MB) View Comments for VT SUD Amendment Request
11/28/2017 Quarterly Report July-September 2017 (PDF, 3.18 MB) Comments link not available
11/21/2017 Vermont Approval Letter for Delivery System Investments (11/21/2017) (PDF, 1.51 MB) Comments link not available
08/29/2017 Quarterly Report April-June 2017 (PDF, 4.55 MB) Comments link not available
06/12/2017 Quarterly Report January-March 2017 (PDF, 4.57 MB) Comments link not available
05/21/2017 CMS Approved Technical Correction (PDF, 508.16 KB) Comments link not available
05/21/2017 Special Terms and Conditions (01/01/2017-12/31/2021) (PDF, 573.13 KB) Comments link not available
03/27/2017 Annual Report 2016 (PDF, 4.36 MB) Comments link not available
02/23/2017 Technical Corrections Request (2/23/2017) (PDF, 177.64 KB) Comments link not available
11/30/2016 Quarterly Report July-September 2016 (11/30/2016) (PDF, 3.19 MB) Comments link not available
11/18/2016 Extension Acceptance Letter (11/18/2016) (PDF, 257.05 KB) Comments link not available
10/24/2016 VT Extension Approval (PDF, 603.12 KB) Comments link not available
08/31/2016 Quarterly Report April-June 2016 (PDF, 2.4 MB) Comments link not available
06/14/2016 CMS Denial of State 1115(e) Request (06/14/2016) (PDF, 109.53 KB) Comments link not available
05/31/2016 Quarterly Report January - March 2016 (05/31/2016) (PDF, 2.41 MB) Comments link not available
01/06/2016 CMS Completeness Letter (01/06/2016) (PDF, 73.13 KB) Comments link not available
12/21/2015 Vermont Extension Application (12/21/2015) (PDF, 2.32 MB) View Comments for Vermont Extension Application (12/21/2015)
05/29/2015 GC Quarterly Report Jan-Mar 2015 (05/29/2015) (PDF, 1.44 MB) Comments link not available
04/01/2015 GC Annual Report 2014 (04/01/2015) (PDF, 785.16 KB) Comments link not available
03/04/2015 Companion Aide Acceptance Letter (03/04/15) (PDF, 38.22 KB) Comments link not available
02/27/2015 GC Quarterly Report Oct-Dec 2014 (02/27/2015) (PDF, 1.64 MB) Comments link not available
02/27/2015 Vermont Companion Aide Pilot Project – STC Attachment H Approval (PDF, 91.03 KB) Comments link not available
02/12/2015 Acceptance Letter (02/12/15) (PDF, 150.67 KB) Comments link not available
01/30/2015 CMS Approval - Demonstration Amendment 2015 (01/30/2015) (PDF, 444.25 KB) Comments link not available
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) Comments link not available
10/02/2013 Current Approval (10/02/2013) (PDF, 312.91 KB) Comments link not available
06/05/2013 Letter of Complete App Approval (06/05/13) (PDF, 712.38 KB) Comments link not available
04/30/2013 Interim Program Evaluation (April 2013) (PDF, 1.67 MB) Comments link not available
04/23/2013 Letter Requesting Extension of 1115 Demo (04/23/13) (PDF, 780.36 KB) Comments link not available
06/27/2012 Approval of Amendment Letter (06/27/12) (PDF, 656.14 KB) Comments link not available
05/14/2012 Letter of Proposal (05/14/12) (PDF, 667.11 KB) Comments link not available
01/01/2011 Expenditure Authority (01/01/11-12/31/13) (PDF, 616.36 KB) Comments link not available
01/01/2011 Special Terms and Conditions (01/01/11-12/31/13) (PDF, 832.35 KB) Comments link not available
01/01/2011 Waiver Authority (01/01/11-12/31/13) (PDF, 614.54 KB) Comments link not available
Proposed Modifications to Cost Sharing Table (PDF, 655.86 KB) Comments link not available
Public Comments (PDF, 89.74 KB) Comments link not available
Return to State Waivers List