Proposed State Rules 

By law, public notice of proposed rules must be given by publication in newspapers of record. The purpose of these notices is to give the public a chance to respond to the proposals. The public notices for administrative rules are now also available online at https://secure.vermont.gov/SOS/rules/ . The law requires an agency to hold a public hearing on a proposed rule, if requested to do so in writing by 25 persons or an association having at least 25 members.

To make special arrangements for individuals with disabilities or special needs please call or write the contact person listed below as soon as possible.

To obtain further information concerning any scheduled hearing(s), obtain copies of proposed rule(s) or submit comments regarding proposed rule(s), please call or write the contact person listed below. You may also submit comments in writing to the Legislative Committee on Administrative Rules, State House, Montpelier, Vermont 05602 (802-828-2231).

Prior Authorization.

Vermont Proposed Rule: 24P030

AGENCY: Agency of Human Services

CONCISE SUMMARY: This rule sets forth the criteria for Vermont Medicaid's prior authorization process. It amends current prior authorization Rule 7102 titled "Prior Authorization." Revisions include:(1) align the rule with 42 CFR 438.210(d)(2) that requires that expedited prior authorizations be decided within 72 hours of request, (2) provide that standard prior authorizations must be decided within seven days of request, (3) add clarity regarding the prior authorization process for pharmacy requests, and (4) add prior authorization requirements for the routine patient costs of a beneficiary when they are related to a clinical trial.

FOR FURTHER INFORMATION, CONTACT: Ashley Berliner, Agency of Human Services, 280 State Drive, Waterbury, VT 05671-1000 Tel: 802-578-9305 Fax: 802-241-0450

E-Mail: [email protected] URL: https://humanservices.vermont.gov/rules-policies/health-care-rules/health-care-administrative-rules-hcar.

FOR COPIES: Linda Narrow McLemore, Agency of Human Services, 280 State Drive, Waterbury, VT 05671-1000 Tel: 802-779-3258 Fax: 802-241-0450 E-Mail: [email protected].