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Committee hears provider concerns over rate tiers and a missed case-management inflation increase

House Appropriations Committee · December 17, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Members raised provider concerns that separated rate approvals produced uneven results across Enhanced Residential Care tiers; DALE reported corrective review steps and that a 1% increase for case management would cost about $70,004.52 (gross).

MONTPELIER — During the House Appropriations Committee’s Dec. 16 review of DALE’s BAA, members raised concerns about how a multi-part rate study was implemented and about missing inflationary increases for case managers under Choices for Care.

DALE explained that a market-rate study contained multiple components — including ACCS and a three-tier ERC (Enhanced Residential Care) structure — that were enacted in separate pieces by the legislature. Commissioner…

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