Code of Vermont Rules › Agency 80 - ADMINISTRATIVE AND ADVISORY AGENCIES › Sub-Agency 280 - GREEN MOUNTAIN CARE BOARD › Chapter 003 - RULE 3.000: HOSPITAL BUDGET REVIEW › Section 80 280 003 - RULE 3.000: HOSPITAL BUDGET REVIEW

Current through June, 2024
Section 3100 GENERAL PROVISIONS
3.101 Purpose.
Under
				18 V.S.A. §
												9375(b)(7), the Green
				Mountain Care Board (Board) shall review and establish hospital budgets
				pursuant to chapter 221, subchapter 7 of Title 18 of Vermont Statutes
				Annotated, taking into consideration the requirements in the underlying
				statutes, changes in health care delivery, changes in payment methods and
				amounts, and other issues at the discretion of the Board. The Board's review
				process will promote the general good of the state, as set forth in
				18 V.S.A. §
												9372, by improving the health of the
				population; reducing the per-capita rate of growth in expenditures for health
				services in Vermont across all payers while ensuring that access to care and
				quality of care are not compromised; enhancing the patient and health care
				professional experience of care; supporting the recruitment and retention of
				high-quality health care professionals; and achieving administrative
				simplification in health care financing and delivery. This rule sets forth the
				process by which the Board will review and establish hospital budgets.
3.102 Authority.
This rule is adopted pursuant to
				18 V.S.A. §
												9375(b)(7), 18 V.S.A. §
				9380, and Act No. 171 (2011 adj. sess.), § 40a.
3.103 Definitions.
(a) "Act" means the Vermont Administrative
			 Procedure Act.
(b) "Board" means
			 the Green Mountain Care Board.
(c)
			 "Chair" means the Chair of the Green Mountain Care Board or a designee
			 appointed by the Chair.
(d)
			 "Commissioner" means the Commissioner of the Department of Financial
			 Regulation.
(e) "Department" means
			 the Department of Financial Regulation.
(f) "Fiscal year" means a twelve-month period
			 designated by the Board under Section 3.105 of this rule.
(g) "Health care facility" means all
			 facilities and institutions, whether public or private, proprietary or
			 nonprofit, that offer diagnosis, treatment, inpatient, or ambulatory care to
			 two or more unrelated persons. The term shall not apply to any facility
			 operated by religious groups relying solely on spiritual means through prayer
			 or healing, but includes all facilities and institutions included in
			 18 V.S.A. §
												9432(8).
(h) "Health care provider" or "provider"
			 means a person, partnership, or corporation, other than a facility or
			 institution, licensed or certified or authorized by law to provide professional
			 health care service in Vermont to an individual during that individual's
			 medical care, treatment, or confinement.
(i) "Hospital" means a general hospital
			 licensed under chapter 43 of Title 18 of Vermont Statutes Annotated, as defined
			 in
			 18 V.S.A. §
												9451(1).
(j) "Person" means any natural person,
			 partnership, corporation, association, governmental subdivision, public agency,
			 or other legal entity.
(k) "Unified
			 health care budget" means the budget adopted by the Board pursuant to
			 18
			 V.S.A. §§
												9375a and
			 9375(b)(11).
(l) "Uniform reporting manual" or "manual"
			 means the uniform reporting manual previously published by the Department and
			 now published by the Board, including appendices and supplements, and any
			 subsequent revisions of the manual.
3.104 Applicability.
This rule shall apply to health care facilities, health care
				providers, hospitals, and other persons affected by the hospital budget review
				process under 18 V.S.A. § 9451-9457 and 18 V.S.A. §
				9375(b)(7).
3.105 Fiscal
			 Year.
The fiscal year is defined as the twelve-month period beginning
				on October 1 of each year.