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Medicaid Advisory Board Description and Information

last modified 06/29/2010 - 07:31 AM

I.      Authority


The Medicaid Advisory Board (MAB) is required by Federal statute (Section 1902(a) (22) of the Social Security Act), State of Vermont statute Sec. 130a 33 V.S.A. § 1901c. and by the State Plan (Section 1.4), to advise the State of Vermont, Agency of Human Services (AHS), Department of Vermont Health Access (DVHA) about health and medical care services.


II.     Purposes or Role


The Medicaid Advisory Board (Board) shall advise the AHS/DVHA on issues relating to Vermont’s public health care programs including but not limited to:


A.     Policy development and program administration,


B.     Proposed regulations prior to the commencement of the rulemaking process or, in the case of emergency regulations, immediately after they are filed,


C.     Review and comment upon AHS/DVHA policy initiatives pertaining to health care benefits and beneficiary eligibility,


D.     Comment on proposed rules prior to commencement of the rulemaking process and on waiver or waiver amendment applications prior to submission to the Centers for Medicare and Medicaid Services,


E.     Priority setting, including consideration of scope of benefits, beneficiary eligibility, funding outlook, financing options, and possible budget recommendations,


F.     The development of program policies and standards, whenever possible, prior to the adoption of the policies and standards;


G.    Suggested solutions to problem areas within the program;


H.     Legislative initiatives relevant to the program;


I.       Utilization of services by recipients;


J.      Content and dissemination of program materials;


K.     Consumer issues, particularly concerning access to services; and


L.      Provider issues.


The Medicaid Advisory Board shall be given adequate opportunity for meaningful participation in the consideration of these issues. The Board's advice shall be sought at the earliest opportunity and at such a time and in such a manner  that best ensures a meaningful opportunity for input by the Board, and meaningful consideration by the AHS/DVHA.

When it is not possible to obtain input from the full Board via discussion at a Board meeting, individual Board members shall be offered an opportunity to submit written comments, and AHS/DVHA shall inform the full Board of all comments received and shall respond in writing to the comments to the full Board.


Consultation with the Medicaid Advisory Board shall happen in matters initiated by the AHS/DVHA, and when possible, those initiated by the Administration and the State Legislature to the extent that the DVHA Commissioner has knowledge of them. The Board may provide recommendations on its own initiative as well. The advice of the Board is not binding upon the AHS/DVHA.


Pursuant to State of Vermont statute Sec. 130a 33 V.S.A. § 1901c., the Medicaid Advisory Board shall make policy recommendations on AHS/DVHA proposals to the AHS/DVHA, the Health Access Oversight Committee, and the standing committees on Health and Welfare.  When the General Assembly is not in session, the DVHA Commissioner shall respond in writing to these recommendations, a copy of which shall be provided to each of the Legislative committees.