Vermont Medicaid Section 1115 Demonstration Extended Through 2027

The Centers for Medicare and Medicaid Services (CMS) has approved an extension of Vermont’s Section 1115 Medicaid Demonstration, “Global Commitment to Health” through 2027. The extension will allow the state to continue testing, monitoring and evaluating a managed care system service delivery system, home and community services and new pilot programs, as well as seeking innovations to maintain high quality services and programs that are cost effective.

Overall, the demonstration extension will continue to promote health equity by expanding coverage and access to services.

Over the past 15 years, demonstrating global health commitment has been Vermont’s primary vehicle for major expansions in health coverage – creating a broad ecosystem for public health and health-related services, driving payer reform and rebalancing long-term services and supports. Thanks to these efforts, Vermont has near-universal health coverage and one of the healthiest populations in the country. As part of the Global Commitment to Health demonstration, Vermont is serving nearly 60% of enrollees eligible for nursing care in a home or community care facility.

Approval of the extension allows Vermont to continue funding a range of initiatives, from reducing the rate of the uninsured and underinsured, to reducing health care costs, to improving from access to quality health care, improving public health, investing in the social determinants of health and promoting home and community services and supports.

In this demonstration expansion, Vermont is introducing new initiatives to improve health coverage, access, and equity for people on Medicaid and other low-income people. Notable new initiatives include:

  • The Supportive Housing Pilot Project, which will provide people with support services to obtain and maintain housing suited to their needs.
  • The Medicaid Data Access and Aggregation Program, a new incentive program aimed at increasing the use of health information technology and the connectivity of health information exchange by healthcare providers. behavioral and long-term health services and supports.
  • The Maternal Health and Treatment Services Initiative, which will provide a person- and family-centered model of care to treat pregnant women and mothers with substance use disorders (SUDs) and/or mental health issue at Lund Home. The Lund Home provides mental health care and SUD treatment to pregnant women, postpartum women and mothers with children up to the age of five in a setting that allows the family to stay and live. be treated together.
  • Establish the SUD Community Intervention and Treatment Eligibility Group to increase access to SUD treatment services, such as counseling and residential treatment, for low- and middle-income people with SUD .

“I am proud to endorse this demonstration extension, which will expand access to behavioral health care, home and community services for the elderly and people with disabilities, and holistic care focused on treating disorders related to substance use and mental health needs during pregnancy. CMS Administrator Chiquita Brooks-LaSure said in a statement. “Vermont is also strengthening its data collection system, which will give us better insights into the impact of the state’s protest and could inform future policymaking.”

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