This service is required by Section 4107 of the Patient Protection and Affordable Care Act. The aggregate impact of this change is expected to be cost neutral. Services may be delivered by qualified Medicaid providers using CPT codes 99406 and 99407 and HCPCS codes S9453. The rate for CPTs 99406 and 99407 will be assigned using DVHA’s RBRVS rate methodology. The rate for S9453 is set at $41.13 per unit.

The draft SPA provides additional details on the proposed changes; copies of the draft SPA can be requested from local Department for Children and Families (DCF) offices, requested from DVHA at (802) 879-5900, or can be found on the DVHA web site at: http://dvha.vermont.gov/administration/draft-versions-of-state-plan-changes.  Written comments should be addressed to Lindsey Wells, DVHA, 312 Hurricane Lane, Suite 201, Williston, VT 05495, and must be received no later then 4:30pm on February 17, 2012. Comments received will be posted to the DVHA web site for viewing by February 21, 2012. There are no public hearings scheduled. If one should be scheduled, that information can be found at: http://dvha.vermont.gov/ through either the calendar or listed under upcoming events.