Code of Vermont Rules › Agency 21 - DEPARTMENT OF FINANCIAL REGULATION › Sub-Agency 040 - DIVISION OF HEALTH CARE ADMINISTRATION › Chapter 007 - UNIFIED HEALTH CARE BUDGET - RULE 7.000 › Section 21 040 007 - UNIFIED HEALTH CARE BUDGET - RULE 7.000

Current through June, 2024
Section 7.000 General Provisions
7.001 Authority. This rule is promulgated by
				the Department of Banking, Insurance, Securities and Health Care Administration
				under the authority of
				18 V.S.A. §§
											9404(d)(2),
				9453(b),
				and
				9456(e).
7.002 Applicability. This rule shall apply to
				health care facilities, health care providers, and other persons affected by
				the unified health care budget adopted by the Commissioner pursuant to
				18 V.S.A. §
											9406(a) and the hospital
				budget review process under
				18 V.S.A. §§
											9451 -
				9457.
7.003 Purpose. Section
				9406 of
				Title 18 requires the Department of Banking, Insurance, Securities and Health
				Care Administration to adopt a unified health care budget as one means of
				achieving the policies set forth in
				18 V.S.A. §
											9401, including quality health care for all
				Vermonters at an affordable price. The budget is to serve as the basic
				framework within which health care costs in Vermont can be controlled,
				resources directed, and quality and access ensured. This rule establishes the
				procedures through which a unified health care budget will be adopted by the
				Department.
7.004 Definitions
(A) "Commissioner" means the Commissioner of
				the Department of Banking, Insurance, Securities and Health Care
				Administration
(B) "Department"
				means the Department of Banking, Insurance, Securities and Health Care
				Administration.
(C) "Division"
				means the Division of Health Care Administration of the Department of Banking,
				Insurance, Securities and Health Care Administration established under
				18 V.S.A. §
												9403.
(D) "File" means receipt by the Division of a
				written document.
(E) "Fiscal year"
				or "year" means a twelve-month period designated by the Division under Section
				7.900 of this rule.
(F) "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(10).
(G) "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.
(H) "Person" means a natural person,
				partnership, unincorporated association, corporation, municipality, the state
				of Vermont or a department, agency or subdivision of the state, or other legal
				entity.
(I) "Provider bargaining
				group" means a group of health care providers authorized to negotiate with the
				Department pursuant to Rule 6.000.
(J) "Public Oversight Commission" means the
				commission established pursuant to
				18 V.S.A. §
												9407(a).
(K) "Sector" means a part of the unified
				health care budget as defined by the Commissioner in accordance with Section
				7.100 of this rule.
(L) "Unified
				health care budget" or "budget" means the annual budget adopted by the
				Commissioner pursuant to this rule and
				18 V.S.A. §
												9406.
(M) "Uniform reporting manual" or "manual"
				means the uniform reporting manual published by the Division, including
				appendices and supplements, and any subsequent revisions of the
				manual.
(N) "Vermont resident" or
				"resident" means a person who is domiciled in Vermont and who, if temporarily
				absent, demonstrates an intent to maintain a principal dwelling place in
				Vermont indefinitely, coupled with an act or acts consistent with that
				intent.
7.005 Timelines.
				The timelines established in this rule may be changed by the Division as
				necessary to accommodate the activities of the Division in establishing a
				unified health care budget from year to year. Any such change shall be
				effective the budget year following notice by the Division to all hospitals and
				to all provider bargaining groups approved under Rule 6.000. Notice shall be
				sent by first-class mail and is deemed given on the date mailed. A copy of such
				change shall be filed at the same time with the secretary of state's
				office.
7.006 Confidentiality.. The
				Division and its advisory groups shall handle all confidential information
				filed with it under this rule in accordance with the Division's Confidentiality
				Code, its policies governing the release of confidential and proprietary
				information, and any applicable federal or state statute, rule or regulation
				that prohibits or otherwise affects the release or disclosure of the
				information.