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Section 1135 Waiver Flexibilities - Vermont Coronavirus Disease 2019 (Seventh Request)

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Vermont for multiple section 1135 flexibilities on March 30, 2020. Your follow-up communication to CMS on October 6, 2021 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Vermont and requested a waiver or modification of those additional requirements.

Collections:

PA-20-0025

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to pay Federally Qualified Health Centers and Rural Health Centers for the administration of COVID-19 vaccines when the vaccines are not provided during the course of a billable encounter visit.

MA-21-0021

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to add Supplemental payment to Pediatric Chronic Disease and Rehabilitation Inpatient Hospitals (CDRH) effective April 1, 2021.

CO-21-0027

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to extend the increased payments for nursing facilities and ICF/IIDs under Attachment 4.19-D to June 30, 2021.

WV-21-0011

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to suspend the requirement for ambulance providers to transport beneficiaries to the nearest appropriate medical facility and to suspend the requirement for beneficiaries to be stretcher bound to use non-emergency ambulance services, to ensure that ambulance services and service destinations are not restricted during the public health emergency period.

NC-21-0012

Approves a template that will authorize the state to enter Value-Based purchasing (VBP) rebate agreements with drug manufacturers for drugs provided under the Medicaid program

OK-21-0022-C

The primary purpose of this SPA is to remove health home program services which will be covered and reimbursed under the state plans Certified Community Behavioral Health (CCBH) services.