DVHA Procedures and Guidance Documents Clinical Information Acute Adult Rehab Prior Authorization Out of Network Acute Pediatric Rehab Prior Authorization Out of Network Annual Quarterly Code Review Clinical Audit Process Clinical Guidelines CST Benefit Determination Medical Benefit Drugs "JCode" Quality of Care Concerns Protocol Unspecified Diagnosis Code Vaccine Program Employee Training & Education Administration of Agreements Relating to Personally Identifiable Information (PII) Hiring Process Public Record Request Record Retention Recording Meetings Financial Reporting Annual Comprehensive Financial Reporting Medical Loss Ratio Reporting State and Federal Grant (FFATA) Reporting Fraud, Waste & Abuse Beneficiary Fraud Investigation Process Eligibility Termination Requests Pharmacy and Prescriber Controlled Substance Monitoring Medicaid Management Information System CCB and Review System Changes Fiscal Agent Inactive User Review Resolving Suspended Claims Medicaid Member Information Appeals and Fair Hearing Estate Recovery Medicaid Deceased Members Review Quarterly Quality Assurance Review TeamCare Process Provider Information Clinical Laboratory Payment Disproportionate Share Hospital Payments Durable Medical Equipment (DMEPOS) Federally Qualified Health Centers (FQHC) & Rural Health Clinics (RHC) Encounter Rates Graduate Medical Education Inpatient Prospective Payments System Long-Acting Reversible Contraception (LARC) Payment Methodology Process Medicaid Data Aggregation and Access Program (MDAAP) Medicare Part D BAE LIS Non-Emergency Medical Transportation Out-of-Network Emergency and Post Stabilization Services Provider Enrollment and Payment Efforts Outpatient Prospective Payment System Payment Model Design Pharmacy Prior Authorization for HUB Physician Payment Methodology Physician Administered Drug Payment Methodology Provider Enrollment and Screening Standards of Care Utilization Management and Authorization Requirements Vermont Medicaid Next Generation Program
