Rule:26P032

The Vermont Agency of Human Services published proposed Rule 26P032 on October 7, 2026, amending Health Care Administrative Rule 4.231, titled "Home Health Services." The rule governs coverage criteria for home health services under Vermont's Medicaid program. Legal authority rests on 3 V.S.A. § 801(b)(11) and 33 V.S.A. § 1901(a)(1). The primary substantive amendment removes the prior authorization requirement for home health services covered under Vermont Medicaid. In place of prior authorization, coverage is available when services are determined to be medically necessary. The agency states that these amendments conform the rule to current coverage criteria already in practice. The agency determined that the rule imposes no increased or decreased economic burden on any person or entity and has no impact on the State's gross annualized budget. A public comment deadline of November 16, 2026 applies. Two public hearings are scheduled for November 9, 2026, one in person at the Waterbury State Office Complex and one conducted virtually via Microsoft Teams.