Health Care

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Actions of 1999 Legislative Session Affecting Health Insurance Coordination with Regulation H-99-1 (August 4, 1999).

Bulletin
Sunday, October 1, 2000
Health Care Bulletin #105

8 V.S.A.§ 4088a requires coverage of chiropractic services that are clinically (medically) necessary and provided by a licensed chiropractor within the legal scope of chiropractic practice.8 V.S.A.§4099c requires all health insurance plans to provide coverage for outpatient contraceptive services, including sterilizations, prescription contraceptives and prescription contraceptive devices approved by the federal Food and Drug Administration if prescription drugs are a covered benefit. Effective Date:    July 1, 1999 no later than Oct 1, 2000

File attachments: 

http://www.dfr.vermont.gov/sites/default/files/BUL-H-105.pdf

Independent External Review of Health care Decisions (June 3, 1999)

Bulletin
Thursday, July 1, 1999
Health Care Bulletin #104

Establishes a process for independent external reviews of health care decisions made by health insurers in Vermont.

File attachments: 

http://www.dfr.vermont.gov/sites/default/files/BUL-H-104.pdf

This Bulletin notifies producers of rules relating to the marketing and sales of Medicare Advantage (MA) Plans and Medicare Prescription Drug Plans (PDP)

Bulletin
Monday, November 24, 2008
Health Care Bulletin #129

This Bulletin notifies producers of rules relating to the marketing and sales of Medicare Advantage (MA) Plans and Medicare Prescription Drug Plans (PDP)

File attachments: 

http://www.dfr.vermont.gov/sites/default/files/BUL-H-129.pdf

Uniform Provider Credentialing

Bulletin
Tuesday, December 12, 2006
Health Care Bulletin #122

This Bulletin prescribes for use by health insurers and hospitals the Council for Affordable Quality Healthcare (CAQH) provider credentialing application form, pursuant to 18 V.S.A. § 9408a.

File attachments: 

http://www.dfr.vermont.gov/sites/default/files/BUL-H-122.pdf

Certificate of Need Review: Adult Day Programs and Assisted Living Residences Generally Exempted

Bulletin
Wednesday, April 12, 2006
Health Care Bulletin #119

This Bulletin addresses how certificate of need review applies to adult day programs and assisted living residences.

File attachments: 

http://www.dfr.vermont.gov/sites/default/files/BUL-H-119.pdf

Definition of Credible Coverage

Bulletin
Thursday, September 2, 2004
Health Care Bulletin #113

This Bulletin clarifies a discrepancy between state and federal law relating to creditable coverage as defined by HIPAA and state laws pertaining to pre-existing condition exclusions.

File attachments: 

http://www.dfr.vermont.gov/sites/default/files/BUL-H-113.pdf

Repeal of Bulletin 87 (Alcohol Benefit Statistics)

Bulletin
Tuesday, July 9, 2002
Health Care Bulletin #111

This Bulletin describes current procedures applicable to the health care facilities and hospitals seeking a Certificate of Need.

File attachments: 

http://www.dfr.vermont.gov/sites/default/files/BUL-H-111.pdf

Implementation of Vermont Act 91 with Respect to Health Insurance: Civil Unions Mandatory Endorsement and Related Issues for Insurers

Bulletin
Thursday, December 21, 2000
Health Care Bulletin #110

This Bulletin explains how health insurers may comply with Act 91 (2000 Session) relating to Vermont's former civil union law.

File attachments: 

http://www.dfr.vermont.gov/sites/default/files/Bulletin_HCA_110.pdf

Re: Regulation 93-4: Uniform Claim Forms and Uniform Standards and Procedures for Processing Dental Coding

Bulletin
Thursday, November 2, 2000
Health Care Bulletin #109

This Bulletin provides that Regulation 93-4 applies to dental providers.  Health insurers should use CDT-3.

File attachments: 

http://www.dfr.vermont.gov/sites/default/files/BUL-H-109.pdf

Actuarial Opinion and Memorandum

Regulation
Wednesday, January 1, 1997
Reg-97-04

This Regulation prescribes guidelines and standards for statements of actuarial opinion (and supporting memorandum) submitted in accordance with 8 V.S.A. § 3561, § 3577, subchapter 4 of Chapter 103 and Chapter 121; establishes guidelines and standards for statements of actuarial opinion submitted when a company is exempt from 8 V.S.A. § 3577 or § 3782; sets forth rules applicable to the appointment of an appointed actuary. This regulation took effect beginning with annual statements filed for the year 1997.

File attachments: 

http://www.dfr.vermont.gov/sites/default/files/REG-IH-97-04.pdf

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