Section 4089j requires that health insurers and pharmacy benefit managers doing business in Vermont permit a retail pharmacist to fill prescriptions in the same manner and at the same level of reimbursement as those prescriptions are filled by mail order pharmacies with respect to the quantity of drugs or days' supply of drugs dispensed under each prescription. Effective Date: Upon policy renewals October 1, 2004 no later than September 30, 2005
The Vermont statute requiring coverage for diabetes treatment, 8 V.S.A. § 4089c, applies to any health insurance company, nonprofit hospital and medical service corporation, and health maintenance organization. Among other requirements, this law requires health insurance carriers to provide coverage for outpatient diabetes self-management training and education, including medical nutrition therapy, for the treatment of insulin dependent diabetes, insulin using diabetes, gestational diabetes and non-insulin using diabetes.
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
This Bulletin notifies producers of rules relating to the marketing and sales of Medicare Advantage (MA) Plans and Medicare Prescription Drug Plans (PDP)
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.
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.
