§ 2032. Role of Department of Vermont Health Access
(a) The Department of Vermont Health Access shall provide the Clinical Utilization Review Board with data support to enable the Board to conduct reviews.
(b) The Department’s Program Integrity Unit shall inform the Board of practices the Unit has identified through its reviews in order to avoid duplication of efforts.
(c) The Department shall provide members of the Board with per diem compensation.
(d) The Department shall have the final authority to evaluate and implement the Board’s recommendations.
(e) The Department shall conduct comprehensive evaluations of the Board’s success in improving clinical and utilization results using claims data and a survey of health care professional satisfaction. The Department shall report annually by January 15 to the House Committee on Health Care and the Senate Committee on Health and Welfare regarding the results of the most recent evaluation or evaluations and a summary of the Board’s activities and recommendations since the last report. The provisions of 2 V.S.A. § 20(d) (expiration of required reports) shall not apply to the report to be made under this subsection.
(f) The Department shall adopt rules pursuant to 3 V.S.A. chapter 25 as needed to implement specific recommendations. (Added 2009, No. 146 (Adj. Sess.), § C34; amended 2013, No. 142 (Adj. Sess.), § 70; 2015, No. 11, § 36.)
Structure Vermont Statutes
Chapter 19 - Medical Assistance
§ 1901. Administration of program
§ 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
§ 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
§ 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
§ 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
§ 1954. Nursing home assessment
§ 1955a. Home health agency assessment
§ 1956. Proceeds from assessments
§ 1959. Ambulance agency assessment
§ 1992. Medicaid coverage for adult dental services
§ 1998. Pharmacy Best Practices and Cost Control Program established
§ 1999. Consumer protection rules; prior authorization
§ 2000. Pharmacy benefit management
§ 2003. Pharmacy discount plans
§ 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
§ 2073. VPharm assistance program
§ 2075. Assistance in enrolling in Medicare Part D
§ 2076. Over-the-counter and generic medications
§ 2078. Education and outreach
§ 2080. Vermont Prescription Drug Pricing and Consumer Protection Program
§ 2091. Dr. Dynasaur-like coverage; legislative intent
§ 2092. Dr. Dynasaur-like coverage for certain Vermont residents