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).
Green Mountain Care Board: Rule 5.000: Oversight of Accountable Care Organizations.
Vermont Proposed Rule: 25P042
AGENCY:
CONCISE SUMMARY: This rule establishes revised standards and processes, consistent with Act 62 of 2025, that the Green Mountain Care Board (GMCB) will use to certify Accountable Care Organizations (ACOs) and review, modify, and approve the budgets of ACOs. First, as of January 1, 2026, the GMCB will no longer review the budgets of all ACOs operating in Vermont, as required by the current GMCB Rule 5.000. Instead, the GMCB will only review the budgets of ACOs that contract with Vermont Medicaid and/or Vermont commercial payers. The GMCB will not review the budgets of ACOs that contract only with Medicare. Second, as of January 1, 2027, all ACOs operating in Vermont must be certified by the GMCB. This is a revision from the current GMCB Rule 5.000, which requires certification only for ACOs that contract with Vermont Medicaid and/or Vermont commercial payers. Third, this revised rule includes revisions to ACO certification and budget review criteria, consistent with Act 62 of 2025.
FOR FURTHER INFORMATION, CONTACT: Angela Pellegrino-Wood, Green Mountain Care Board, 112 State St. 5th floor Montpelier, VT 05602 Tel: 802-461-5740 E-Mail: Angela.Pellegrino-Wood@vermont.gov URL: https://gmcboard.vermont.gov/aco-oversight.
FOR COPIES: Mark Hengstler, Green Mountain Care Board, 112 State St. 5th floor Montpelier, VT 05602 Tel: 802-249-0519 E-Mail: Mark.Hengstler@vermont.gov.
