In 2016, the Green Mountain Care Board was given the authority to develop rules and standards to regulate Accountable Care Organizations (ACOs) through Vermont’s Act 113: ‘An act relating to implementing an all-payer model and oversight of accountable care organizations.’ The GMCB has adopted, Rule 5.000: Oversight of Accountable Care Organizations, which establishes standards and processes the GMCB will use to certify ACOs and annually review, modify, and approve their budgets, and mechanisms by which the GMCB will monitor and oversee the activities performance of ACOs. As a test year to prepare for 2018, the GMCB has provided ACOs with an Annual Reporting and Budget Guidance.
Medicaid Advisory Rate Case - OneCare Vermont
Medicare ACO Agreement - OneCare Vermont
Rule 5.000: Oversight of Accountable Care Organizations
- Rule 5.000 As Adopted
- GMCB Guidance re: Referrals of Potential Violations of State or Federal Antitrust Laws to the Vermont Attorney General
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2019 ACO Budget Information
- 2019 DRAFT GMCB ACO Budget Guidance
- 2019 DRAFT GMCB Guidance and Reporting Requirements for Vermont Non-Certified ACOs
- 2019 Certification Eligibility Verification Form for OneCare Vermont ACO
- 2019 Sections 2-3 Appendix - ACO Providers and Payer Programs DRAFT
- 2019 Section 4 Appendix - ACO 2019 Budget Submission Financial Template DRAFT
- 2019 Section 4.8 Appendix - ACO 2019 Budget Submission Reporting APM for Participating Hospitals DRAFT
- 2019 Section 5 Appendix - ACO Pop Health and Quality Templates DRAFT_
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