Green Mountain Care Board Rules
The Green Mountain Care Board has the authority to adopt rules in order to carry out the provisions in Act 48. The Board will promulgate the rules in accordance with the Administrative Procedures Act (APA).
As the process begins for each rule, we will provide information regarding drafts of the rule, scheduled meetings, and the status of the rule when it enters the APA process.
Health Insurance Rate Review Rule effective January 1, 2014. Rule 2.000
Hospital Budget Rule effective January 1, 2013. Rule 3.000
Certificate of Need
Department of Financial Regulation's CON rule, which applies to all CON matters for which an application was filed before January 1, 2013: DFR Rule-H-2010-01
GMCB's CON Rule, which applies to all CON matters for which an application was filed on or after January 1, 2013: Rule 4.000
Accountable Care Organizations
Oversight of Accountable Care Organizations effective November 17, 2017: Rule 5.000
DRAFT Rule Revision
The Green Mountain Care Board is charged in 18 V.S.A. § 9410 with establishing and maintaining a unified health care database reflecting health care utilization, costs, and resources in Vermont, and health care utilization and costs for services provided to Vermont residents in another state. Health insurers, health care providers, health care facilities, and governmental agencies are required to file reports, data, schedules, statistics, and other information determined by the Board to be necessary for this purpose. Currently, the GMCB is in the process of revising the Rule that governs data submission and data release for Vermont's All-Payer Claims Database (APCD), the Vermont Health Care Uniform Reporting and Evaluation System (VHCURES).
The Green Mountain Care Board has the authority to establish policies in order to carry out the provisions in Act 48. The Board has established a payment reform policy in conjunction with its payment reform pilot development. Please see the policy here.