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.
Read more about ACO budget review and certification in our ACO Oversight explainer document.
Medicare-only ACOs new to Vermont can read more about the budget review process here.
Statute and Rule:
- Procedure and Guidance re Rule 5.000, § 5.202(b)(3)
- 18 V.S.A. §9382. Oversight of Accountable Care Organizations
- Rule 5.000: Oversight of Accountable Care Organizations
- Rule 5.000 Guidance re: Executive Compensation
- GMCB Guidance re: Referrals of Potential Violations of State or Federal Antitrust Laws to the Vermont Attorney General
ACO Budget and Certification Guidance and Submissions for Fiscal Year:
ACO-Related Board Meeting Presentations
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ACO Quality Results
- 2018 Quality Measures Scorecard
- 2019 Quality Measures Results (8/5/2020)
- 2023 Quality Measures Scorecard (11/22/2024)
ACO Settlement Statements
- Medicare 2023 Settlement
- Medicare 2022 Settlement
- Medicare 2021 Settlement
- Medicare 2020 Settlement
- Medicare 2019 Settlement
- Medicare 2018 Settlement
ACO Compensation Disclosure
- 2019 Compensation Disclosure (6/12/20)
Medicaid Advisory Rate Case - OneCare Vermont
- GMCB Medicaid Advisory Rate Case - Review of OneCare Vermont's All-Inclusive Population-Based Payment (12/30/2020)
- GMCB Medicaid Advisory Rate Case - Review of OneCare Vermont's All-Inclusive Population-Based Payment (2/25/2020)
- GMCB Medicaid Advisory Rate Case - Review of OneCare Vermont's All-Inclusive Population-Based Payment (12/14/2018)
- GMCB Medicaid Advisory Rate Case - Review of OneCare Vermont's All-Inclusive Population-Based Payment (12/8/2017)
Medicare ACO Agreement - OneCare Vermont
- 2019 Vermont Medicare ACO Initiative Participation Agreement (11/8/2018)
- 2020 Amendment to Definitions (12/27/2019)
- 2020 Amendment No. 1 (12/07/2020)
- 2020 Amendment No. 2 (12/29/2020)
- 2021 Amendment No. 1 (12/31/2020)
- 2021 Amendment No. 2 Sequestration (03/18/2021)
- 2021 Appendix B - Beneficiary Alignment and Benchmarking Methods
- PY23 Amendment No. 3 (12/29/2022)
- 2018 Next Generation ACO Model Participation Agreement - Vermont Modified Next Generation ACO (12/18/2017)