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Code Vt. R. 13-110-008-X, Section X — Choices for Care 1115 LTC Medicaid Waiver: Provider Responsibilities

VermontregulationVermont Agency of Human Services· effective 2005-10-07

What this rule requires your agency to do

  • 1Reimbursement for services shall not occur unless and until the individual is found financially eligible; providers using a transitional service plan to start services do so before financial approval at their own risk (Sec. VIII.D).(Code Vt. R. 13-110-008-X, Section X — Choices for Care 1115 LTC Medicaid Waiver: Provider Responsibilities)
  • 2Providers must meet the service definitions, service standards, and provider qualifications established by the Department for all services, subject to any limitations the Department imposes on covered services (Sec. VIII).(Code Vt. R. 13-110-008-X, Section X — Choices for Care 1115 LTC Medicaid Waiver: Provider Responsibilities)
  • 3Agencies, organizations, and individuals who provide Choices for Care services must abide by applicable laws, regulations, policies and procedures (Sec. X).(Code Vt. R. 13-110-008-X, Section X — Choices for Care 1115 LTC Medicaid Waiver: Provider Responsibilities)
  • 4Providers are subject to termination of provider status by the Department for failure to abide by applicable laws, regulations, policies and procedures (Sec. X).(Code Vt. R. 13-110-008-X, Section X — Choices for Care 1115 LTC Medicaid Waiver: Provider Responsibilities)

Applies to: personal care

Establishes the baseline compliance duty for all agencies, organizations, and individuals providing Choices for Care services and the Department's authority to terminate provider status for noncompliance. Together with Section VIII's provider-qualification and service-standard authority, this frames the core provider-obligation regime for Vermont personal care and home-based waiver services. Framework topic: Provider Standards / Enrollment & Compliance.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.