2009 Adopted Rule Changes
Adopted rule changes are listed in reverse chronological order (latest listed first).
Bulletin 09-07: Changes to Long-Term Care and Hospital Rules - This bulletin updates definitions and coverage rules for long-term care and hospital services. It reflects current practices for both, and the changes in the service delivery system created by the Choices for Care waiver. It incorporates changes to the names of State agencies. [Secretary of State's number: 09P-041] - added: 1/26/10
Bulletin 09-17: State Fiscal Year 2010 Coverage Changes - This rule implements the changes in Bulletins 09-15E, 09-19E, 09-23E, 09-25E, and 09-27E which were a direct result of H. 441/Act 1 of the 2009 Special Session, An Act making Appropriations for the Support of Government. It includes additional changes as approved by LCAR. [Secretary of State's ID#: 09P-035]. - updated 1/8/10
Bulletin 09-27E: State Fiscal Year 2010 Coverage Changes - Price for Ingredients - This emergency rule bulletin implements a change in the price of ingredients paid to pharmacists. This change represents the 2% rate reduction required by the state fiscal year 2010 budget for health care programs, found in Act 1 of the 2009 Special Session, An Act making Appropriations for the Support of Government. It continues Bulletin 09-19E which was effective until November 12, 2009. - updated: 11/12/09 [Secretary of State's ID#: 09E-014]
Bulletin 09-25E: State Fiscal Year 2010 Coverage Changes - 90-day maintenance Fills - This emergency rule implements Act 1 of the 2009 Special Session, An Act making Appropriations for the Support of Government. This Act instructed OVHA to make changes using the emergency rule process because of the fiscal crisis in the state. It continues Bulletin 09-15E which was effective until November 12, 2009. - updated: 11/12/09 [Secretary of State's ID#: 09E-015]
Bulletin 09-23E: State Fiscal Year 2010 Coverage Changes - Chiropractic, VPharm co-pays, and Therapeutic Pilot - This emergency rule implements Act 1 of the 2009 Special Session, An Act making Appropriations for the Support of Government. This Act instructed OVHA to make changes using the emergency rule process because of the fiscal crisis in the state. It continues Bulletin 09-15E which was effective until November 12, 2009. - updated: 11/12/09 [Secretary of State's ID#: 09E-013]
- Bulletin 09-19E: Reduction in Payment for Prescription Ingredients - This emergency rule bulletin implements a change in the price of ingredients paid to pharmacists. This change represents the 2% rate reduction required by the state fiscal year 2010 budget for health care programs. [This bulletin changes only the pages where the pricing appears in rule.] This rule was effective July 15, 2009. - updated: 07/20/09
- Bulletin 09-15E: State Fiscal Year 2010 Coverage Changes - This emergency rule was implemented as a direct result of H. 441/Act 1 of the 2009 Special Session, An Act making Appropriations for the Support of Government. This Act instructed OVHA to make changes using the emergency rule process because of the fiscal crisis in the state. This rule was effective July 15, 2009. - updated: 7/20/09
- Bulletin 09-05: Eliminating Adult Chiropractic Coverage in Medicaid and the Vermont Health Access Plan (VHAP) - This bulletin implements an emergency rule to eliminate services from a chiropractor for adults in Medicaid and VHAP (both Limited and Managed Care) from February 1, 2009 to June 1, 2009. This returns the rules to their status prior to July 1, 2008 when these services began to be covered. This includes returning the coverage from a chiropractor for children to only manipulation for subluxation as reflected in the existing rule at M640. These services are optional according to federal law, so their elimination for adults is allowable within the boundaries of federal law. This action is being taken because of the extreme fiscal crisis in the State, creating imminent peril to public health and welfare. Immediate elimination of this benefit has been agreed to by the Administration and the Joint Fiscal Committee of the Vermont legislature, and was approved by the Joint Fiscal Committee on December 19, 2008. - updated: 01/20/09
- Bulletin 09-03: Eliminating Adult Chiropractic Coverage in Medicaid and the Vermont Health Access Plan (VHAP) - This bulletin continues the elimination of services from a chiropractor for adults in Medicaid and VHAP (both Limited and Managed Care) that was effective with Bulletin 09-05 (above). This rule is effective June 1, 2009. - updated: 05/15/09