Previous Special Public Comment Periods

June 2024

The Board is accepting public comment on GMCB's FY25 Medicare-Only ACO Budget Guidance. Public comment were accepted until noon on Wednesday, June 19, 2024. No comments were received.
The Board is accepting public comment on OneCare Vermont's 2025 Rick Mitigation Plan. This will be presented at the June 12, 2024, Board Meeting. Comments were accepted until noon on Monday, June 17, 2024. No comments were received.
GMCB received a response from OneCare Vermon t in response to the Explanation of Deficiency and Proposal for Remedial Action letter sent to the ACO on May 10th. The Board accepted public comment on the ACO's response until noon on Thursday, June 20, 2024. No comments were received.
The Board accepted public comment on the VITL Annual Budget as presented by VITL until noon on Tuesday, June 11, 2024. No comments were received.
The Board accepted public comment on the Draft VT Global Payment Methods paper through noon on Tuesday, June 4th.

May 2024

The Board accepted public comment on the UVMMC Outpatient Surgery Center Certificate of Need application until noon on Thursday, May 30, 2024.
The Board accepted public comment on proposed revisions to the reporting manual for Vermont’s All-Payer Claims Database, the Vermont Health Care Uniform Reporting and Evaluation System (VHCURES), through May 31, 2024. The proposed revised draft can be accessed here. No comments were received.
The Board accepted public comment on the Draft OneCare Vermont FY25 Budget Guidance until noon on Monday, May 20, 2024. No comments were received.

April 2024

The Board accepted public comment on the Vermont All-Payer ACO Model Agreement: 2025 Extension through noon on April 26, 2024. The 2025 Extension was presented to the Board on Wednesday, April 17, 2024. No comments were received.
The Board accepted public comments on Guidance on the Assessment of Affordability in the Review of Rates through April 9 for Board consideration prior to the Board's review on April 24. The draft guidance can be seen here.
The Board accepted public comment on a requested mid-year modification to Copley Hospital’s FY24 budget through April 1 for Board consideration prior to the Board’s review of the requested modification at its meeting on April 3. The budget modification request information can be seen here under the Copley Hospital section.

March 2024

The Board accepted public comment through Monday, March 25, 2024 on the Draft FY2025 Hospital Budget Guidance.

January 2024

On January 31, 2024, the Board heard a presentation on the 2025 Stanard Qualified Health Plan Designs from the Department of Vermont Health Access (DVHA). The Board accepted public comment on these plans until 12pm on Tuesday, February 6, 2024.
- Sharon Gutwin

December 2023

The Board received Lore Heath ACO’s FY2024 Budget on October 2, 2023. Submission materials can be found here. Lore Health presented their budget at a public board meeting on Wednesday, November 1, 2023 and GMCB staff will present their analysis on Monday, November 20, 2023. Public comment will be accepted through Friday, December 1st to be considered ahead of the GMCB vote which will occur before the end of the year, tentatively scheduled for Wednesday, December 6, 2023.
- Vermont Health Care Advocate
The Board received Vytalize Heath 9 ACO LLC's FY2024 Budget on October 2, 2023. Vytalize presented their budget at a public board meeting on Wednesday, November 15, 2023. Submission materials can be found here. Public comment will be accepted until noon on Tuesday, December 5th to be considered ahead of the GMCB vote which will occur before the end of the year, tentatively scheduled for Wednesday, December 6, 2023.
The Board received OneCare Vermont ACO’s Certification Form on August 29, 2023 and their FY2024 Budget on October 2, 2023. Submission materials can be found here. OneCare Vermont will present their budget at a public board meeting on Wednesday, November 8, 2023, and GMCB staff will present their analysis on Wednesday, December 6, 2023. Public comment can be submitted through Friday, December 1st to be considered ahead of the GMCB staff presentation or by Friday, December 15th to be considered ahead of the GMCB vote, which will occur before the end of the year, tentatively scheduled for Wednesday, December 20, 2023.
The Board received the Brattleboro Retreat’s submission of FY 2024 hospital budget review materials on December 4, 2023. The Brattleboro Retreat will present their budget at a public board meeting on Wednesday, December 20, 2023 with a potential vote by the Board. Public comment can be submitted through Monday, December 18 to be considered ahead of the hearing.

November 2023

On November 1, 2023, The Board received the 2023 update to the Vermont Health Information Exchange Strategic Plan and Connectivity Criteria for 2024. Click here to access the draft Plan. The Vermont Agency of Human Services (AHS) and Vermont Information Technology Leaders (VITL) presented the HIE Strategic Plan Update and Connectivity Criteria for 2024 at a public Board meeting on November 15, 2023. AHS resubmitted a modified HIE Plan draft on November 30, 2023. Public comment was accepted through Monday December 4, 2023 to be considered ahead of the GMCB vote on Wednesday December 13th. No public comments were received.

October 2023

As of 10/11/2023, Vytalize rescinded its waiver request. Vytalize Health 9 is a Medicare-Only ACO whose network is expanding into Vermont for FY24. Public comments on this request were received until October 10th.
- Vermont Health Care Advocate

July 2023

The Board accepted public comment on the FY24 hospital budget submissions. The hospital budget submissions are posted here. Information on the Board's hospital budget review process is also available on the Board's website and can be found here.
GMCB Board Member Robin Lunge proposed FY24 Budget Targets for OneCare Vermont FY24 Budget Guidance. The public was encouraged to submit public comment until noon on Tuesday, July 11, 2023.
- Proposed Budget Targets - Robin Lunge, GMCB Board Member
- Robert Hoffman, M.A., LPC, MPH
GMCB considered OneCare Vermont FY24 Budget Guidance for Fiscal Year 2024. A potential vote was scheduled for Wednesday, July 12, 2023. To allow time for comments to be considered ahead of the potential vote, comments were accepted until Tuesday, July 11th at noon.
- OneCare Vermont Letter to GMCB 06/09/2023
- OneCare Vermont Letter to GMCB 06/22/2023
- Robert Hoffman
- Vermont Health Care Advocate
- Julie Wasserman, MPH
- OneCare Vermont Letter to GMCB 06/26/2023
- GMCB Letter to OneCare Vermont 06/28/2023
- GMCB subpoena to OneCare Vermont 06/28/2023
- Ken Libertoff
- Sharon Gutwin, PT and Business Owner

June 2023

GMCB considered the Medicare-Only ACO Guidance for Fiscal Year 2024. Materials were posted on the FY24 ACO Oversight page. The special comment period was open until Monday, June 26, 2023. No comments were received.
The GMCB received OneCare Vermont’s FY23 revised budget submission on March 31, 2023. Materials were posted on the OneCare Vermont (OCV) FY23 Materials page and the Board accepted public comment on OCV’s revised budget through noon on Tuesday, June 13, 2023.
- Julie Wasserman, MPH - Health Policy Consultant (04/14/2023)
- Walter Carpenter
- Julie Wasserman, MPH - Health Policy Consultant (05/22/2023)
- Vermont Office of the Health Care Advocate
- Robert L. Hoffman, M.A. LPC, MPH
- Robert L. Hoffman, M.A. LPC MPH (06/08/2023)
- Mark Hage, VT NEA

May 2023

March 2023

The GMCB considered increasing the Certificate of Need Dollar Thresholds. This item was brought before the Board on April 5, 2023. The presentations slides can be found here. Public Comment closed on April 12, 2023. No comments were received.
The Board reviewed the FY24 Hospital Budget Guidance in meetings throughout March and accepted public comments until March 27, 2023. The following comments were received.
- Michael Del Trecco, Vermont Association of Hospitals and Health Systems
  - March 28, 2023 Comments
  - March 21, 2023 Comments
- HealthFirst
- Sharon Gutwin
- Robert Hoffman
- Rick Vincent, CFO, University of Vermont Health Network
- Betsy Bishop
The Board accepted public comments on a potential modification of a FY2017 University of Vermont Medical Center enforcement action to permit the University of Vermont Health Network to use the balance of the remaining self-restricted funds from that enforcement action (approximately $18 million) to increase capacity for mental health services in the State, not limited to increased inpatient mental health capacity. The presentation regarding the proposed modification can be found here and quarterly reports from UVMHN can be found here.
- Laura Nelson
- Jeanne Guilbault
- Representative Anne Donahue
- John Bauer
- Ken Libertoff
- Heidi Henkle
- Dr. Ben Smith
- Maria Moore
- Heidi Henkle (03/07/2023)
- Connie Stabler
- UVMHN Letter to GMCB (03/06/2023)
- Robert Hoffman
- MaryAlice Bisbee
- Representative Anne Donahue (03/18/2023)
- Laurie Emerson, National Alliance on Mental Illness of Vermont

February 2023

Vermont Information Technology Leaders (VITL) submitted an amendment to the to the Green Mountain Care Board for review and approval as the change in revenues is slightly above the 5% threshold set in the VITL Budget Guidance developed by the Board in May 2021. The amendment reflected changes to the forecast for FY23 relative to the budget that was presented in June 2022. Please see the related documents at https://gmcboard.vermont.gov/hit/vitl-oversight. Public Comment closed on Wednesday, February 22, 2023. No comments were received.

On Wednesday, February 1, 2023, the Department of Vermont Health Access presented their proposal for the plan design for 2024 Standard Qualified Health Plan. Public comment opened on Tuesday, January 31st and closed on February 7, 2023. There were no public comments received during this period.

December 2022

The Board received OneCare Vermont ACO’s Certification Form on September 1, 2022 and their FY2023 Budget on September 30, 2022. Submission materials can be found here. OneCare Vermont will present their budget at a public board meeting on Wednesday, November 9, 2022, and GMCB staff will present their analysis on Wednesday, December 7, 2022. Public comment can be submitted through Friday, December 2, 2022 to be considered ahead of the GMCB staff presentation on December 7, 2022, or by Friday, December 16, 2022, to be considered ahead of the GMCB vote, which will occur before the end of the year, tentatively scheduled for Wednesday, December 21, 2022.
The Board received the five-year comprehensive 2023-2027 Vermont Health Information Exchange Strategic Plan and Connectivity Criteria for 2023 on October 31, 2022. The Vermont Agency of Human Services (AHS) and Vermont Information Technology Leaders (VITL) presented this Plan to the Board on November 16, 2022. Public comments were accepted through Friday, December 2, 2022 ahead of the staff presentation and GMCB vote on December 14, 2022. No Public Comments were received.

November 2022

In late 2021, Vermont submitted a request to the Center for Medicare and Medicaid Innovation (CMMI) to extend the All-Payer Model (APM) Agreement for one year to allow the state more time to develop a proposal for a subsequent Agreement and engage providers and other partners. During 2022, the Vermont APM signatories, led by the Scott Administration, negotiated an extension agreement that would allow for up to two additional performance years; this would provide a bridge to a new federal-state model (currently in development) likely to start in 2025. GMCB staff presented the extension agreement for the GMCB’s consideration on November 16, and the GMCB Board approved the amended and restated All-Payer ACO Model Agreement on November 28, 2022.
- Vermont APM Extension Summary (11/02/2022 - to be discussed at 11/16/2022 Board meeting)
- Full Amended and Restated Vermont All-Payer ACO Model Agreement (11/02/2022 - to be discussed at 11/16/2022 Board meeting)
- Memo from Agency of Human Services Regarding All-Payer Model Extension (11/15/2022 - to be discussed at 11/16/2022 Board meeting)
- Public Comments
  - Robert Hoffman
  - Don Tinney, Deb Snell, Betty Keller, Avery Brook, Sarah Launderville, Karen Topper, Mollie Wills, Kirsten Murphy, Deb Richter, Julie Wasserman, and Patrick Flood

The Board received Gather Heath ACO’s FY2023 Budget on September 30, 2022. Submission materials can be found here. Gather Health presented their budget at a public board meeting on Monday, October 24, 2022, and GMCB staff presented their analysis on Wednesday, November 2, 2022. Public comment was accepted through Friday, October 28, 2022 to be considered ahead of the GMCB staff presentation on November 2, 2022, or by Friday, November 11, 2022, to be considered ahead of the GMCB vote on Wednesday, November 16, 2022. No public comments were submitted.

August 2022

The Board accepted public comment on the FY23 Hospital Budgets from July 13, 2022 through August 30, 2022. Information on the FY23 Hospital Budget review can be seen here. Budget information submitted by the hospitals is available here.
The Board accepted public comment on proposed revisions to the reporting manual for Vermont’s All-Payer Claims Database, the Vermont Health Care Uniform Reporting and Evaluation System (VHCURES), through August 2, 2022. The proposed revised draft can be accessed here.
On Friday, May 6, 2022, the Board received and began its review of the proposed rates for major medical health insurance plans offered to individuals, families, and small businesses in Vermont in 2023, including plans offered on Vermont Health Connect. The Board accepted public comment on these filings Monday, May 9th and until July 21st, 2022 at 11:59 p.m. To view the submitted comments, please visit the rate review website.

June 2022

The Board accepted public comment on the Vermont Information Technology Leaders’ (VITL’s) Budget, which was presented to the Board on June 8, 2022. The VITL Budget potential vote was recognized for June 22, 2022.
The Board reviewed the FY2023 Accountable Care Organization (ACO) Budget Guidance and Certification Form. The Medicare-Only ACO Guidance was reviewed on June 8, 2022, and the Certified ACO Guidance and Certification Form was reviewed on June 15, 2022. Materials can be found on the Board meeting page here. Public comment was submitted by COB on Monday, June 20, 2022, in order to be considered before the Board’s potential vote on June 22, 2022.
- Ellen Schwartz
- Ethan Parke

May 2022

OneCare Vermont presented their Revised Budget to the Board on May 4, 2022. The GMCB staff analysis and Board vote was on May 11, 2022. Revised budget materials can be found on the FY22 ACO Oversight Page. Comments submitted after May 6 will still be shared with the Board.

April 2022

The Board accepted public comment on the University of Vermont Health Network Mid-Year Budget Adjustment request until April 8, 2022. The Budget Adjustment request information can be seen here under the UVMMC section.

March 2022

At the Board Meeting on Wednesday, March 2, 2022, the Board discussed the Certificate of Need (CON) dollar thresholds, the Board’s authority to adjust them, and whether the Board will adjust them for inflation. The presentation can be seen here on the GMCB website. The Board accepted public comment on the CON dollar thresholds until March 30, 2022.
- University of Vermont Health Network
The Board accepted public comment on the Rutland Regional Medical Center Mid-Year Budget Adjustment request, which the Board voted on, on March 30, 2022. The Budget Adjustment request information can be seen here under the RRMC section.
The GMCB accepted public comment on the FY23 Hospital Budget Guidance until COB on March 28, 2022. The FY23 Hospital Budget Guidance presentation can be seen here.
The Board accepted public comment on the Clover Health Partners, LLC FY22 budget submission through March 21, 2022. More information about Clover Health Partners, LLC and the Board’s budget guidance for Medicare-Only Non-Certified ACOs can be found here.
- Clover Health Partners
- Dr. Marvin Malek, Springfield Hospital

February 2022

The Board accepted public comment on the Essential Heath Benefit (EHB) Benchmark Plan proposal presented by the Department of Financial Regulation on January 26, 2022. Click here for the full presentation. The Board will be potentially voting on the proposal on March 2, 2022.

January 2022

The Board accepted public comment on the Act 159 Section 5 report on Hospital Sustainability, from January 21-28, 2022. The report was submitted to the legislature on February 1, 2022.

December 2021

The Board accepted public comment December 15, 2021 through December 20, 2021 on the 2022 Medicare Benchmark Proposal. All public comment was to be submitted by EOB on December 20, 2021, to be considered ahead of a potential GMCB vote, which occurred on December 22, 2021.
The Board received OneCare Vermont ACO's FY2022 Budget on October 1, 2021, and the 2022 Certification Form on August 30, 2021. Submission materials can be found here. OneCare presented their budget at a public Board meeting on November 10, 2021, and GMCB staff presented their analysis on December 8, 2021. Public comment was submitted by December 1, 2021, to be considered ahead of the GMCB staff presentation on December 8, 2021, or by December 17, 2021, to be considered ahead of the GMCB vote, which occurred on December 22, 2021.
The Board accepted public comment December 1, 2021 through December 13, 2021 on the Proposed Redline and Request Letter for the All-Payer Model Agreement - Proposal to Request 1-Year Extension of Current Agreement. The Proposed Redline can be seen here and the Request Letter can be seen here. All public comment was submitted by EOB on December 13, 2021, to be considered ahead of a potential GMCB vote, which occurred on December 15, 2021.
- Ellen Oxfeld

November 2021

The Board accepted public comment November 3, 2021 through November 25, 2021 on the 2021 updated Vermont Health Information Exchange (HIE) Strategic Plan, including the Vermont Health Information Exchange (VHIE) Connectivity Criteria. The plan submitted by the Department of Vermont Health Access (DVHA) is posted here on the GMCB website. DVHA and Vermont Information Technology Leaders (VITL) presented a summary of this updated plan at a public Board meeting on November 17, 2021.
The Board accepted public comment on the draft Health Care Workforce Strategic Plan submitted by the Director of Health Care Reform October 15, 2021 through Monday, November 1, 2021. In addition to the special comment period, the Board held a public meeting on the draft plan Wednesday, October 20, 2021 and gathered feedback from its General Advisory Committee on October 25, 2021. The Board must review and approve the draft plan within 30 days upon receipt. The draft Health Care Workforce Strategic Plan can be found here.
- Susan Aranoff, Vermont Developmental Disabilities Council (submitted 11/2/2021)
- Michelle Wade, Vermont Nurse Practitioners Association
- Pam Jane Dawson
- Ryan Stevenson
- Richard Rawson

October 2021

The Board accepted public comment on the GMCB Prescription Drug Technical Advisory subgroup recommendations presented at the October 15, 2021 Board meeting through Monday, October 25, 2021. The subgroup recommendations can be seen here. The Board received no written public comments during the special comment period.
The Board accepted public comment on the draft FY 2022 Budget Guidance and Reporting Requirements for Medicare-Only Non-Certified Accountable Care Organizations Wednesday, October 13, 2021 through Tuesday, October 19, 2021. The draft guidance can be seen here.
- Kevin Murphy, Clover Health Partners

September 2021

The Board accepted public comment, July 28, 2021 through September 1, 2021, on the FY22 Hospital Budgets. Information on FY22 hospital budget review can be seen here. Budget information submitted by the hospitals is available here. The Board will be holding public hospital budget hearings starting the week of August 16, the Board’s deliberations will start September 1, and the Board will vote no later than September 15. Please submit comments prior to September 1 to be considered by the Board in deliberations.
- Dr. Jeremiah Eckhaus
- Deb Snell, VFNHP

August 2021

The Board accepted public comment June 30, 2021 through August 10, 2021 on the following proposed Rules for Data Submission and Data Release to replace the current 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). A public hearing is scheduled for August 2, 2021 at 2:00 pm. Details can be found on the GMCB’s calendar of events: https://gmcboard.vermont.gov/calendar. These proposed Rules can also be viewed at the Vermont Secretary of State here: https://secure.vermont.gov/SOS/rules/search.php (search under Green Mountain Care Board, or by Rule numbers 21P019 and 21P020).
- Proposed Draft Data Submission Rule 8.000
  - VHCURES Reporting Manual
  - VUHDDS Reporting Manual
- Proposed Draft Data Release Rule 9.000
  - VHCURES Data Use and Disclosure Manual
  - VUHDDS Data Use and Disclosure Manual

July 2021

Beginning May 10, 2021 to July 28, 2021 at 11:59 PM, the Board accepted public comment on the proposed Blue Cross Blue Shield of Vermont and MVP Health Care Individual and Small Group rate filings for plan year 2022. For information on the rate filings and how to attend the rate review hearings and public comment forum, please visit the rate review website here.

June 2021

The Board accepted public comment on a request from Clover Health Partners that the Board waive the requirements of GMCB Rule 5.400 (Board review and approval of an ACO’s annual budget) and GMCB Rule 5.500 (Board’s monitoring and enforcement of ACOs) for Clover Health. Clover Health is participating as a Direct Contracting Entity in CMS’ Direct Contracting Model. Clover Health’s presentation requesting the waiver can be viewed here. The Board is accepting public comment June 23, 2021 through June 29, 2021. A potential vote on Clover Health’s request is scheduled for the Board meeting on June 30, 2021.
The Board accepted public comment on the FY 2022 Accountable Care Organization (ACO) Oversight (Budget Guidance and Certification) June 9, 2021 though June 16, 2021. The materials can be seen here under the June 9, 2021 date.
The Board accepted public comment on Vermont Information Technology Leaders' (VITL's) FY 2022 Budget June 9, 2021 through June 18, 2021. The presentation can be seen here under the June 9, 2021 date and the budget submission can be seen here.

May 2021

At its May 19, 2021 meeting, the Board considered how the transfer of three practices from the University of Vermont Medical Center to Central Vermont Medical Center, which were transferred at the end of FY2020 but not included as transferred in the approved FY2021 budgets for either hospital, should be reflected in the FY2021 and FY2022 hospital budget process. The presentation can be seen here. The Board accepted comments prior to May 19, 2021.
The Board accepted public comment on the draft Accountable Care Organization Oversight Guidance Re Rule 5.000, § 5.203(a) from May 5, 2021 until May 10, 2021. The presentation to the Board can be seen here and the draft guidance can be seen here.

April 2021

The Board accepted public comment on the draft VITL Budget Guidance from March 31, 2021 until EOB April 9, 2021. The draft guidance can be seen here.

Beth Anderson, President & CEO, VITL

March 2021

The Board is accepting public comment on the FY22 Hospital Budget Guidance beginning March 10, 2021. The presentation, draft guidance, draft enforcement policy, and draft appendices workbook can be seen here on the GMCB website under the March 17, 2021 date. The Board will be discussing the guidance further and potentially voting on March 24, 2021. Please submit public comment by EOB Friday, March 19, 2021 to be considered by the Board at the March 24, 2021 meeting.

December 2020

The Board accepted public comment on the 2021 Medicare Benchmark Recommendation from December 16, 2020 until December 22, 2020 at 12:00 pm. The GMCB staff presentation and recommendations can be seen here.
The Board accepted public comment on the FY 2021 OneCare Vermont Budget Submission from October 28, 2020 until December 21, 2020. The FY 2021 ACO budget materials can be seen here.

November 2020

The Board accepted public comment on the hospital budget process until November 30, 2020. The Board had a debrief of the FY21 hospital budget process on November 4, 2020 and the video can be seen here on the Orca Media website.
The Board accepted public comment on the 2020 Update to the 2018-2022 Health Information Exchange (HIE) Plan until EOB November 30, 2020.
- Bi-State Primary Care Association Public Comment

October 2020

The GMCB solicited public comment through October 30, 2020 on discussion drafts of two white papers on GMCB Regulatory Alignment.

GMCB Regulatory Alignment White Paper, Part 1: Current State – Discussion Draft, lays out each of the regulatory processes as they currently operate.
GMCB Regulatory Alignment White Paper, Part 2: Options for Regulatory Timeline and Logistic – Discussion Draft, considers possible changes to the GMCB regulatory timeline to improve alignment.
This white paper series aims to improve the Board’s ability to make decisions consistently across regulatory processes and ensure appropriate assessment of regulated entities in a reformed payment and delivery system environment. A third The third and final paper will review four key areas for policy alignment: (1) financial measures, (2) quality measurement, (3) delivery system roles and responsibilities, and (4) risk and reserves. To learn more about this area of GMCB’s work, visit our Regulatory Alignment webpage.

The Board accepted public comment from October 14, 2020 until 12:00 pm on October 20, 2020 on the Revised 2020 Medicare Benchmark Proposal. The slides can be seen here and the draft letter can be seen here.

September 2020

The Board accepted public comment until 12:00 pm, September 29, 2020 on the Request for FY21 Budget Reconsideration. The September 23, 2020 letter can be seen here.

August 2020

The Board accepted public comment from August 14, 2020 until EOB September 8, 2020 on the FY21 hospital budgets. Information on FY21 hospital budget review and individual hospital budget information can be seen here.

July 2020

The Board accepted public comment on the Vermont Small and Individual Group 2021 rate filings between May 11, 2020 and July 23, 2020 at 11:59 PM.
The Board accepted public comment from July 15, 2020 until July 31, 2020 on hospital sustainability planning. The presentation given to the Board on July 15, 2020 can be seen here, the draft framework can be seen here, and the draft tables can be seen here.

June 2020

The Board accepted public comment from June 4, 2020 until June 16, 2020 on the FY21 ACO Budget Guidance.
The Board accepted public comment from June 2, 2020 until June 15, 2020 on VITL's FY21 budget. The presentation from VITL can be seen here.

May 2020

The Board accepted public comment through May 26, 2020 at 10:00 am on the updated draft FY21 Hospital Budget Guidance. The Draft Appendix 1 Verifications Under Oath Forms for COVID Guidance can be seen here.
The Board accepted public comment, from May 12, 2020 until May 19, 2020 at 10:00 am, on the draft FY21 Hospital Budget Guidance.
The Board accepted public comment through Monday, May 4, 2020 at 8:00am on the Northwestern Medical Center 2020 Budget Amendment Request. The request can be seen here under the April 29, 2020 10AM meeting, the presentation from the GMCB staff can be seen here, and the presentation from Northwestern Medical Center can be seen here.

April 2020

The Board accepted public comment through Tuesday, April 21, 2020 at 5pm on the BCBSVT 2021 Non-Standard Plan Designs. The presentation for April 22, 2020 can be seen here, the benefit proposal can be seen here, and the GMCB evaluation criteria can be seen here. The Board also accepted verbal public comment (via call-in number or Skype) at the Board Meeting on April 22, 2020.
The Board accepted public comment from April 1, 2020 through April 7, 2020, on the subject of whether to issue one or more time-limited waivers of the need to obtain a certificate of need for new health care projects related to the COVID-19 pandemic. In addition, the Board asked for comment on what types of projects should be granted a waiver and the appropriate duration of any such waiver.

March 2020

March 11, 2020 through March 23, 2020, the Board accepted public comment on the FY 2021 Hospital Budget Guidance. The presentation on the guidance can be seen here and the draft guidance can be seen here.
February 26, 2020 through March 11, 2020, the Board accepted public comment on the hospital sustainability planning. The presentation to the Board can be seen here and the sustainability plan framework can be seen here.
- VAHHS Letter
- HCA Letter
February 26, 2020 through March 10, 2020, the Board accepted public comment on the proposed technical changes to the All-Payer Model Agreement. The presentation on the technical changes can be seen here, the memo can be seen here, the draft appendix 1 can be seen here, and the draft appendix 3 can be seen here.

February 2020

January 29, 2020 through February 3, 2020, the Board accepted public comment on the Non-Standard QHP Design Approval Process & 2021 Evaluation Criteria. The proposed approval process can be seen here, the proposed evaluation criteria can be seen here, and the presentation can be seen here.
January 22, 2020 through February 2, 2020, the Board accepted public comment on the revised 2019-2020 HIE Plan, effective March 1, 2020. The Health Information Strategic Plan Version 2 can be seen here.
January 22, 2020 through February 2, 2020, the Board accepted public comment on the adjusted VITL FY 2020 budget. The VITL presentation on the updated budget can be seen here.

January 2020

Rural Health Services Task Force Report -- Public comments were accepted through January 2, 2020 at 5pm.
- Task Force Draft Report
- Task Force Workforce Paper

December 2019

The Board accepted public comment on OneCare Vermont, LLC's 2020 Accountable Care Organization Budget Submission. The special comment period was from October 1, 2019 until December 18, 2019. The budget is posted here on the GMCB website.

November 2019

November 4, 2019 through November 15, 2019, the Board accepted public comment on the 2019-2020 Vermont Health Information Exchange (HIE) Strategic Plan, including the Vermont Health Information Exchange (VHIE) Connectivity Criteria. The plan submitted by the Department of Vermont Health Access is posted here on the GMCB website.

September 2019

The Board accepted public comment on the GMCB General Advisory Committee Charter. The charter and other materials are posted here under the September 4, 2019 Board meeting.

August 2019

August 28, 2019 through September 3, 2019 EOB, the Board accepted public comment regarding the FY 2020 Hospital Budgets.

July 2019

May 13, 2019 through July 24, 2019 the Board accepted public comment regarding the 2020 Proposed Vermont Health Connect Filing Rates. Please click here to be directed to the Vermont Rate Review website.

June 2019

June 5, 2019 through COB June 17, 2019 the Board had a special comment period regarding the FY2020 ACO Budget Guidance.

Health Care Advocate (HCA)

Wednesday, May 15, 2019 through Monday, June 3, 2019 at 12:00 pm the Board had a special comment period open on the proposed FY20 VITL Budget. The proposal can be found here. No public comments were submitted to the Board.

April 2019

April 17, 2019 through April 29, 2019 the Board accepted public comment regarding the Green Mountain Surgery Center CON (GMCB-010-15con). All corresponding documents can be found here.

April 5, 2019 through April 16, 2019 the Board had a special comment public comment regarding Springfield Hospital's FY2019 Budget Order Amendment Request. Springfield Hospital's request was sent to the Board on March 27, 2019 is posted here and other corresponding documents are posted here under Springfield Hospital.

April 15, 2019 Public Comment

March 2019

March 13, 2019 through March 22, 2019 the Board had a special comment period open on the FY2020 Hospital Budget Guidance Draft. Corresponding documents are posted here on the 2019 Board meeting information page, below March 13, 2019. The updated FY2020 Hospital Budget Guidance Draft is posted here.

VAHHS

The Board had a special comment period regarding OneCare Vermont's 2018 Budget Order Amendment Request from Wednesday, February 27, 2019 through March 6, 2019. All corresponding documents relating to OneCare's request can be found here under the February 27, 2019 Board meeting date.

Health Care Advocate (HCA)

The Board had a special comment period relating to FY 2020 Draft GMCB Hospital Budget Guidance from February 20, 2019 through March 6, 2019. Corresponding documents are posted under the February 20, 2019 Board meeting date here.

February 2019

2020 Standard Qualified Health Plan Design Proposal

The Board had a special public comment period open relating to the 2020 Standard Qualified Health Plan Design Proposal from February 20, 2019 through February 26, 2019. Corresponding documents are posted under the February 20, 2019 Board meeting date here.

January 2019

2019 ACO Certification

Wednesday, January 9, 2019 through Thursday, January 17, 2019 the Board had a special comment period open on the 2019 ACO Certification Review. The corresponding documents can be found here under the January 9, 2019 Board meeting. There were no public comments submitted to the Board.

November 2018

Vermont's Health Information Exchange Strategic Plan for 2018-2019

Thursday, November 1, 2018 through November 15, 2018 the Board had a special comment period open on the Vermont Health Information Exchange Strategic Plan for 2018-2019. The plan can be found here.
- HCA Public Comment

October 2018

Monday, October 8, 2018 through Friday, December 14, 2018 the Board had a special comment period open on the OneCare Vermont FY19 ACO budget. The budget and corresponding documents can be found here. Comments submitted to the Board realting to the OneCare Vermont FY19 ACO budget can be found here.

July 2018

Proposed Measures for 2019 Medicare ACO Program

Wednesday, June 27, 2018 through July 6, 2018 the Board had a public comment period open on the proposed measures for the 2019 Medicare ACO Program. The proposed measures were presented at the June 27th, 2018 meeting and the information is posted here.
From July 11, 2018 through July 22, 2018, the Board had a special public comment period open on the 2019 Medicare ACO Initiative Operational Modifications. The proposal was presented at the July 11, 2018 board meeting. For more information, please click here.
From July 18, 2018 through July 27, 2018, the Board had a special public comment period open on the new ACO certification statutory criteria. The comment period was mentioned at the July 18, 2018 board meeting. For more information and materials, please click here. Public comments relating to ACO certification statutory criteria are here.

June 2018

2019 Accountable Care Organization Budget Guidance and Reporting Requirements

Wednesday, June 13, 2018 through June 30, 2018 the Board had a special comment period open on the draft 2019 Accountable Care Organization Budget Guidance and reporting requirements. The draft guidance was presented at the June 13th, 2018 Board meeting and materials are posted here.
HCA Public Comment

May 2018

VITL FY19 Budget and Work Plan Submission

Wednesday, May 9, 2018 through May 23, 2018 at 12:00 pm the Board had a special public comment period open on the proposed FY19 VITL Budget and Work Plan Submission. The proposal can be found here and GMCB's presentation/recommendation from May 9 can be found here

April 2018

2017 Hospital Budget Enforcement

Wednesday, April 4, 2018 through April 10, 2018 at 4:00 pm the Board had a special comment period open on the 2017 Hospital Budget Enforcement. No public comments were submitted.

March 2018

GMCB FY19 Hospital Budget Draft Guidance

Wednesday, March 21, 2018 through March 27, 2018 at 12:00 pm the Board had a special public comment period open on the proposed FY19 Hospital Budget Guidance. The proposal can be found here and GMCB's presentation from March 21 can be found here.
All Hospital Budget Comment
HCA Public Comment
VAHHS Comment Letters from March 8 and March 22

February 2018

Data Governance Council - Charter Change Proposal

Wednesday, February 14, 2018 through February 28, 2018, the Board had a special public comment period open on the poposed charter change to the Data Governance Council. The proposal can be found here.
VPQHC Public Comment
HCA Public Comment

July 2017

Additional Vermont Health Connect Insurance Rate Public Comment

Updated GMCB Rate Review Hearings and Public Comment Forum

Southwestern Vermont Medical Center (Docket No. GMCB-015-16con)

The Green Mountain Care Board accepted public comment through July 20, 2017 on SVMC Dental Home CON application.

Rule 5.000: Oversight of Accountable Care Organizations

The Green Mountain Care Board held a public hearing on Thursday, June 29, 2017 at 1:00 p.m. to receive public comments on the proposed rule. The hearing was held at the Board’s offices on the second floor of the City Center Building at 89 Main Street, Montpelier, Vermont 05620-3601. The Board accepted public comments on the Proposed Rule 5.000 through July 14, 2017. Comments were directed to Michael Barber, Associate General Counsel at michael.barber@vermont.gov, or (802) 828-1741.

May 2017

Thursday, April 20, 2017 through Friday, May 19, 2017, stakeholders were invited to submit final feedback and comment on the SIM Sustainability Plan and the Population Health Plan. Participants should feel free to contact Georgia Maheras (georgia.maheras@vermont.gov) or Sarah Kinsler (sarah.kinsler@vermont.gov) to provide written or verbal comments; all comments were due by Friday, May 19, 2017.

April 2017

Thursday, April 13, 2017 until 10 days after the close of the Hearing, the Board had a special public comment period open on the Green Mountain Surgery Center Certificate of Need Application.

Green Mountain Surgery Center documents

Thursday, April 13, 2017 through Tuesday, April 25, 2017, the Board had a special public comment period open on the ACO Budget Guidance and Annual Reporting.

Thursday, March 30, 2017 through Tuesday, April 11, 2017, the Board had a special public comment period open on Vermont's Certificates of Need law as administered by the Green Mountain Care Board.

March 2017

Thursday, March 23, 2017 through Tuesday, March 28, 2017, the Board had a special public comment period open on the following documents:

Vermont Hospital Budgets: Proposed Budget Guidelines for FY 2018

Thursday, March 30, 2017 through Tuesday, April 11, 2017, the Board had a special public comment period open on the following documents:

VITL FY2018 Budget Review

February 2017

Thursday, January 26, 2017 through Monday, February 6, 2017, the Board had a special public comment period open on the proposed 2018 Standard Qualified Health Plans:

DVHA Proposal of 2018 Standard Qualified Health Plans

December 2016

Thursday, December 15, 2016 through Tuesday, December 20, 2016, the Board had a special public comment period open on the following Documents:

October 2016

The Board opened a special public comment on the Vermont All-Payer Accountable Care Organization Model DRAFT Agreement until 12:00 pm on Friday, October 21, 2016.

November 2015

At its November 5, 2015 meeting, the Board opened a public comment period for the ACO Year 3 Standards with proposed revisions until Monday, November 16, 2015 at 4:30 pm

October 2015

At the GMCB Board Meeting on October 22, 2015, the Board opened up a public comment period on the Certificates of Need for the Northwestern Medical Center until November 2, 2015 at 4:30 pm. The CON related to: Renovation/Construction of Single Occupancy Rooms and Centralized Registration, Docket No., GMCB-022-14con and Construction of New Medical Office Building, Doccket No., GMCB-0024-14con.

September 2015

The Green Mountain Care Board accepted public comment on FY 2016 hospital budgets until 12 noon on September 9, 2015.

July 2015

The Green Mountain Care Board accepted public comment on the technical corrections to the Commercial ACO Pilot Standards until 4:30 pm on July 21, 2015.

June 2015

The Public comment for the Self Evaluation of Vermont’s State Innovation Model Grant was from Thursday, June 11, 2915 to Wednesday, June 17, 2015 at 12:00pm.

May 2015

At the GMCB Board Meeting on May 19, 2015, the Board opened up a public comment period on the Certificate of Need Hearing: University of Vermont Medical Center Inpatient Bed Replacement Project until May 29, 2015 at 4:30pm.

April 2015

The Data Governance Council was contemplating the removal of Medicare supplemental eligibility data from the scope of VHCURES data collection. GMCB invited the public to provide comment on this potential decision. (See explanation below)

Through the Vermont Health Care Uniform Reporting and Evaluation System (VHCURES), GMCB collects health insurance claims data on Vermont residents as mandated in state law. The data that is available to GMCB and approved data users does not include names or other direct identifiers of individuals using covered health care services. The VHCURES data is used to analyze health care spending, utilization and the performance of the health care system that provides services to Vermonters. Currently, the bulk of VHCURES includes data for comprehensive major medical insurance coverage through private insurance, Medicaid, and Medicare. VHCURES also includes data from commercial insurers for Medicare Advantage, Medicare Part D prescription drugs, and limited information on Medicare Supplement that covers some expenses not covered by Medicare and other insurance. VHCURES only collects enrollment data for Medicare Supplemental insurance policies, but does not collect Medicare Supplement claims data. The limited information in partial collection of Medicare supplement enrollment data has offered no known analytic value or usefulness. The Data Governance Council is contemplating the removal of Medicare supplemental eligibility data from the scope of VHCURES data collection. GMCB invites the public to provide comment on this potential decision.

March 2015

At the GMCB Board Meeting on March 5th, 2015, the Board opened up a public comment period on the proposed changes to 2016 Qualified Health Plans on Vermont Health Connect until March 10th at 12noon.

February 2015

At the GMCB Board Meeting on February 26th, 2015, the Board opened up a public comment period on the Certificate of Need Hearing: Green Mountain at Fox Run- Attuned Eating and Living Centers, LLC until March 9th, 2015 at 4:30pm.

At the GMCB Board Meeting on February 26th, 2015, the Board opened a public comment period on the Data Governance Council Charter until March 4th, 2015 at 2:00pm.

January 2015

At the GMCB Board Meeting on December 18th, 2014 the Board opened up a public comment period on the Data Governance Council’s Data Stewardship Principles and Policies until January 6, 2015 at 4:30pm.

October 2014

Changes to The Quality and Performance Measures for Vermont's ACO Shared Savings Programs

The Green Mountain Care Board opened a public comment on the proposed moratorium on changes to the quality and performance measures for year 3 of Vermont’s ACO shared savings programs. The comment period was from Thursday, October 23 through Monday, December 1 at 4:30pm.”

GMCB Statement Regarding Year 3 ACO Commercial Shared Savings Quality and Performance Measures

The Green Mountain Care Board considered a hiatus on adding or promoting quality and performance measures for Year 3 (Calendar Year 2016) of the ACO Commercial Shared Savings Program. The Board requested that the VHCIP Quality and Performance Measures Work Group, Steering Committee, and Core Team also consider this proposal, which is based on a desire to provide stability and predictability to the program. It will also allow the GMCB a chance to review and evaluate year 1 and 2 results of the ACO Commercial Shared Savings Program.

November 2024

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July 2024