For the most part, Vermont Medicaid has no written policy outlining the frequency of Medicaid fee schedule or other payment methodology updates. Over the years, as payment methodologies were re-vamped or new ones created to more align with Medicare payment methodologies, Medicaid Reimbursement has sought to update the rates on a more consistent basis, either annually or semi-annually or as prescribed in the State Plan.
A few years ago, Medicaid Reimbursement sought approval to update the last of the major fee schedules. The fee schedule for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) had not been updated in almost a decade. Approval was granted in 2017 and a new methodology was implemented January 1, 2018.
To better serve our provider community and as a result our clients through greater access, Medicaid Reimbursement is committed to consistently updating fee schedules on a consistent and predictable basis. The goal of the unit going forward is to work towards greater consistency in updates to all fee schedules and other payment methodologies that the unit oversees.
Last updated: 07/15/2020
Author: Reimbursement Unit