Vermont Statutes
Chapter 19 - Medical Assistance
§ 1997. Definitions

§ 1997. Definitions
As used in this subchapter:
(1) “Board” or “Drug Utilization Review Board” means the Drug Utilization Review Board established in connection with the Medicaid program.
(2) “Commissioner” means the Commissioner of Vermont Health Access.
(3) “Health benefit plan” means a health benefit plan with prescription drug coverage offered or administered by a health insurer, as defined by 18 V.S.A. § 9402, and the out-of-state counterparts to such plans. The term includes:
(A) any State public assistance program with a health benefit plan that provides coverage of prescription drugs;
(B) any health benefit plan offered by or on behalf of the State of Vermont or any instrumentality of the State providing coverage for government employees and their dependents that agrees to participate in the Program; and
(C) any insured or self-insured health benefit plan that agrees to participate in the Program.
(4) “Department” means the Department of Vermont Health Access.
(5) “Participating health benefit plan” means a health benefit plan that has agreed to participate in one or more components of the Pharmacy Best Practices and Cost Control Program.
(6) “Program” or “the Pharmacy Best Practices and Cost Control Program” means the Pharmacy Best Practices and Cost Control Program established by this subchapter.
(7) “State public assistance program” includes the Medicaid program, VPharm, the State Children’s Health Insurance Program, the State of Vermont AIDS Medication Assistance Program, the General Assistance program, the Pharmacy Discount Plan Program, and the out-of-state counterparts to such programs. (Added 2001, No. 127 (Adj. Sess.), § 1, eff. June 13, 2002; amended 2005, No. 174 (Adj. Sess.), § 100; 2009, No. 156 (Adj. Sess.), § I.61; 2013, No. 79, § 25, eff. Jan. 1, 2014.)

Structure Vermont Statutes

Vermont Statutes

Title 33 - Human Services

Chapter 19 - Medical Assistance

§ 1900. Definitions

§ 1901. Administration of program

§ 1901a. Medicaid budget

§ 1901b. Pharmacy program enrollment

§ 1901d. State Health Care Resources Fund

§ 1901e. Global Commitment Fund

§ 1901f. Medicaid program enrollment and expenditure reports

§ 1901g. Medicaid coverage for home telemonitoring services

§ 1901j. Medicaid reimbursement for long-acting reversible contraceptives

§ 1901k. Medicaid coverage for hearing aids and audiology services

§ 1902. Qualification for medical assistance

§ 1902a. Confidentiality of Medicaid applications and records; disclosure to authorized representative

§ 1903. Contract authorized

§ 1903a. Care management program

§ 1905. Disproportionate share program

§ 1905a. Medicaid reimbursements to certain outpatient providers

§ 1906. Recoupment of amounts spent on child medical care

§ 1906a. Recovery against estate; homestead exemptions

§ 1907. Subrogation

§ 1908. Medicaid; payer of last resort; release of information

§ 1908a. Vermont Partnership for Long-Term Care

§ 1909. Direct payments to Agency; discharge of insurer’s obligation

§ 1910. Liability of third parties; liens

§ 1911. Tobacco manufacturers; liability for Medicaid expenditures

§ 1912. Findings and purpose

§ 1913. Definitions

§ 1914. Requirements

§ 1915. Findings and purpose

§ 1916. Definitions

§ 1917. Certifications

§ 1918. Directory of cigarettes approved for stamping and sale

§ 1919. Prohibition against the stamping and sale of cigarettes not included in the directory

§ 1920. Agent for service of process

§ 1921. Reporting and sharing of information

§ 1922. Quarterly escrow deposits

§ 1923. Penalties and other remedies

§ 1924. Miscellaneous provisions

§ 1925. Joint and several liability of importers on nonparticipating manufacturer’s brand families

§ 1950. Purpose

§ 1951. Definitions

§ 1952. General provisions

§ 1953. Hospital assessment

§ 1954. Nursing home assessment

§ 1955. ICF/DD assessment

§ 1955a. Home health agency assessment

§ 1955b. Pharmacy assessment

§ 1956. Proceeds from assessments

§ 1957. Audits

§ 1958. Appeals

§ 1959. Ambulance agency assessment

§ 1991. Definitions

§ 1992. Medicaid coverage for adult dental services

§ 1997. Definitions

§ 1998. Pharmacy Best Practices and Cost Control Program established

§ 1998a. Pharmacy mail order

§ 1999. Consumer protection rules; prior authorization

§ 2000. Pharmacy benefit management

§ 2001. Legislative oversight

§ 2002. Supplemental rebates

§ 2003. Pharmacy discount plans

§ 2004. Manufacturer fee

§ 2004a. Evidence-Based Education and Advertising Fund

§ 2007. Canadian Prescription Drug Information Program

§ 2031. Creation of Clinical Utilization Review Board

§ 2032. Role of Department of Vermont Health Access

§ 2071. Definitions

§ 2072. General eligibility

§ 2073. VPharm assistance program

§ 2075. Assistance in enrolling in Medicare Part D

§ 2076. Over-the-counter and generic medications

§ 2077. Administration

§ 2078. Education and outreach

§ 2079. Construction

§ 2080. Vermont Prescription Drug Pricing and Consumer Protection Program

§ 2081. Rulemaking

§ 2091. Dr. Dynasaur-like coverage; legislative intent

§ 2092. Dr. Dynasaur-like coverage for certain Vermont residents