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Care Coordination/Care Management in Vermont

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Vermont’s Blueprint for Health is an initiative focused on integrating the state’s healthcare system, improving public health, and decreasing health care costs.1 The Department of Vermont Health Access is responsible for developing and implementing the state’s Blueprint for Health.2 The Blueprint must focus on chronic care management, coordination of health care services, payment reforms for health insurers, Medicaid, and Medicare, and development of medical homes and community health teams.3 The Blueprint for Health extends to the state’s mental health system.4 Health insurers and Vermont’s Catamount Health must comply with the Blueprint for Health.5 Hospitals are required to participate in Vermont’s health information exchange network to comply with the Blueprint for Health.6 The director of the blueprint must annually report to the state legislature on the progress of implementing the Blueprint.7

The Green Mountain Care board is responsible for payment reform and delivery system reform as part of the state’s health care reform efforts.8 The director of payment reform from the Department of Vermont Health Access must develop the payment reform pilot projects according to the policies established by the board.9 Health insurers must participate in the development and implementation of the payment reform pilot projects.10

 

Footnotes

  • 1. 18 Vermont Statutes §701
  • 2. 18 Vermont Statutes §702
  • 3. 18 Vermont Statutes §§702, 703, 704, 705; 33 Vermont Statutes §1903a
  • 4. 18 Vermont Statutes §§7253, 7254, 7401
  • 5. 8 Vermont Statutes §§4080f, 4088h; 18 Vermont Statutes §706
  • 6. 18 Vermont Statutes §§707,708
  • 7. 18 Vermont Statutes §709
  • 8. 18 Vermont Statutes §§721, 722
  • 9. 18 Vermont Statutes §722, 724, 725
  • 10. 18 Vermont Statutes §723

 

Care Coordination/Care Management in Vermont

Subtopic Statute/Regulation Description
Care Coordination/Care Management 12-3 Vt. Code R. 217:5370 - Vermont Blueprint for Health under the Agency of Human Services regulations “Vermont Blueprint for Health under the Agency of Human Services regulations” The Blueprint for Health is Vermont’s program for...
12-4 Vt. Code R. 200:3 - Residents’ rights of the agency of human services regulation “Residents’ rights of the agency of human services regulation” A nursing facility must establish written policies and procedures...
12-4 Vt. Code R. 202:5 - Resident care and home services under the Agency of Human Services regulations “Resident care and home services under the Agency of Human Services regulations” A nursing home must determine if a resident has an...
12-4 Vt. Code R. 202:6 - Nursing home resident’s rights under the Agency of Human Services regulations “Resident’s rights under the Agency of Human Services regulations” Nursing homes must establish and adhere to a written policy...
12-5 Vt. Code R. 15:1 - Purpose under the Agency of Human Services regulations “Purpose under the Agency of Human Services regulations” Vermont recognizes the fundamental right of an adult to determine the extent of...
12-5 Vt. Code R. 15:5 - Clinician orders for life sustaining treatment (COLST) under the Agency of Human Services regulations “Clinician orders for life sustaining treatment (COLST) under the Agency of Human Services regulations” At any time a patient may need...
12-5 Vt. Code R. 15:6 - Do not resuscitate (DNR) protocols, orders and identifications under the Agency of Human Services regulations “Do not resuscitate (DNR) protocols, orders and identifications under the Agency of Human Services regulations” Every health care...
12-5 Vt. Code R. 15:7 - Experimental treatments under the Agency of Human Services regulations “Experimental treatments under the Agency of Human Services regulations” An individual may authorize participation in treatment studies...
12-5 Vt. Code R. 15:8 - Advance directive registry under the Agency of Human Services regulations “Advance directive registry under the Agency of Human Services regulations” The Vermont Advance Directive Registry (VADR) is a secure,...
12-5 Vt. Code R. 15:9 - Authority and obligations of health care providers, health care facilities and residential care facilities and health insurers under the Agency of Human Services regulations “Authority and obligations of health care providers, health care facilities and residential care facilities and health insurers under the...
12-5 Vt. Code R.15:4 - Advanced directives under the Agency of Human Services regulations “Advanced directives under the Agency of Human Services regulations” The agents, guardians, healthcare providers, health care facilities...
12-6 Vt. Code R. 2:6 - Definitions and general policies under the Agency of Human Services regulations “Definitions and general policies under the Agency of Human Services regulations” An intermediate care facility for the developmentally...
20-4 Vt. Code R. 11:3 - Information for naturopathic physicians under the Secretary of State regulations “Information for naturopathic physicians under the Secretary of State regulations” Before accepting a client for prenatal and natural...
Vt. Stat. Ann. tit. 12, § 1909 - Limitation of medical malpractice action based on lack of informed consent under the court procedure law “Limitation of medical malpractice action based on lack of informed consent under the court procedure law” A patient is entitled to a...
Vt. Stat. Ann. tit. 14, § 3075 - Consent for medical or dental treatment under the decedents’ estates and fiduciary relations law “Consent for medical or dental treatment under the decedents’ estates and fiduciary relations law” A person under guardianship...
Vt. Stat. Ann. tit. 18, § 701 - Definitions under the health law “Definitions under the health law”  (1) “Blueprint for Health” means the state’s program for integrating the...
Vt. Stat. Ann. tit. 18, § 1852 - Hospital patients’ bill of rights; adoption under the health law “Patients’ bill of rights; adoption under the health law” The "Bill of Rights for Hospital Patients" provides patients the...
Vt. Stat. Ann. tit. 18, § 702 - Blueprint for Health; strategic plan under the health law “Blueprint for health; strategic plan under the health law”  The commissioner of Vermont Health Access must establish a committee to...
Vt. Stat. Ann. tit. 18, § 703 - Health prevention; chronic care management under the health law “Health prevention; chronic care management under the health law”  The director of health must develop a model for integrating a...
Vt. Stat. Ann. tit. 18, § 704 - Medical home under the health law “Medical home under the health law”  A health care professional providing a patient's medical home must: Provide...
Vt. Stat. Ann. tit. 18, § 705 - Community health teams under the health law “Community health teams under the health law”  Consistent with federal law, the community health team must consist of health care...
Vt. Stat. Ann. tit. 18, § 706 - Health insurer participation under the health law “Health insurer participation under the health law” Health insurance plans must be consistent with the Blueprint for Health, including...
Vt. Stat. Ann. tit. 18, § 707 - Participation by health care professionals and hospitals under the health law “Participation by health care professionals and hospitals under the health law” Hospitals must participate in the Blueprint for Health by...
Vt. Stat. Ann. tit. 18, § 709 - Blueprint annual report under the health law “Annual report under the health law” The director of the blueprint must annually report on the status of implementation of the Vermont...
Vt. Stat. Ann. tit. 18, § 7253 - Clinical resource management and oversight under the health law “Clinical resource management and oversight under the health law” The commissioner of mental health, in consultation with health care...
Vt. Stat. Ann. tit. 18, § 7254 - Integration of treatment for mental health, substance abuse, and physical health under the health law “Integration of treatment for mental health, substance abuse, and physical health under the health law”  The director of health care...
Vt. Stat. Ann. tit. 18, § 7401 - Powers and duties of the commissioner of mental health “Powers and duties under the health law”   (19) The commissioner of mental health must ensure the development of chronic care...
Vt. Stat. Ann. tit. 18, § 7705 - Communication and visitation under the health law “Communication and visitation under the health law” Every patient seeking mental health treatment is entitled to receive mail, receive...
Vt. Stat. Ann. tit. 18, § 9373 - Definitions under the health law “Definitions under the health law” (3) “Chronic care management” means a system of coordinated health care...
Vt. Stat. Ann. tit. 18, § 9377 - Payment reform; pilots under the health law “Payment reform; pilots under the health law” The Green Mountain Care Board is responsible for payment and delivery system reform,...
Vt. Stat. Ann. tit. 18, § 9405b - Hospital community reports Hospital community reports The Commissioner of the Department of Financial Regulation with other health care stakeholders must establish a standard...
Vt. Stat. Ann. tit. 18, § 9410 - Health care database Health care database The Commissioner of the Department of Financial Regulation must establish and maintain a unified health care database in order...
Vt. Stat. Ann. tit. 18, § 9701 - Definitions under the health law “Definitions under the health law” (1) “Advance directive” means a written record which may include an appointment of an...
Vt. Stat. Ann. tit. 18, § 9702 - Advance directive under the health law “Advance directive under the health law” An adult may have an advance directive that: Appoints one or more agents; Affirm that the...
Vt. Stat. Ann. tit. 18, § 9705 - Duty to deliver advance directive under the health law “Duty to deliver under the health law” An individual possessing an advance directive must deliver the patient’s advance directive...
Vt. Stat. Ann. tit. 18, § 9706 - When advance directive becomes effective under the health law “When advance directive becomes effective under the health law” An advance directive regarding health care becomes effective when the...
Vt. Stat. Ann. tit. 18, § 9707 - Authority and obligations of health care providers, health care facilities, and residential care facilities regarding health care instructions under the health law “Authority and obligations of health care providers, health care facilities, and residential care facilities regarding health care instructions...
Vt. Stat. Ann. tit. 18, § 9708 - Authority and obligations of health care providers, health care facilities, and residential care facilities regarding do-not-resuscitate orders and clinician orders for life sustaining treatment under the health law “Authority and obligations of health care providers, health care facilities, and residential care facilities regarding do-not-resuscitate...
Vt. Stat. Ann. tit. 18, § 9709 - Obligations of health care providers, health care facilities, residential care facilities, and health insurers regarding protocols and nondiscrimination under the health law “Obligations of health care providers, health care facilities, residential care facilities, and health insurers regarding protocols and...
Vt. Stat. Ann. tit. 26, § 4188 - Unprofessional conduct regarding midwives under the professions and occupations law “Unprofessional conduct under the professions and occupations law” A licensed midwife must not engage in unprofessional conduct, which...
Vt. Stat. Ann. tit. 33, § 1821 - Green Mountain Care purpose under the human services law “Purpose under the human services law” Green Mountain Care must provide comprehensive, affordable, high-quality publicly financed health...
Vt. Stat. Ann. tit. 33, § 1903a - Care management program under the human services law “Care management program under the human services law” The commissioner of Vermont Health Access must coordinate with the director of the...
Vt. Stat. Ann. tit. 8, § 4088h - Health insurance and the blueprint for health under the banking and insurance law “Health insurance and the blueprint for health under the banking and insurance law” A health insurance plan must comply with the...
Click on the individual state law in the table above to see our summary of the individual law.


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