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Officials brief Health & Welfare on $195 million RHT award, CMS oversight and spending limits
Summary
State Health & Welfare presenters outlined the first-year Rural Health Transformation cooperative agreement (~$195 million), explained CMS approval requirements, described a 15% cap on provider payments that held several projects, and reiterated obligation and spending deadlines.
State Health & Welfare officials told the committee on April 9 that Vermont’s first-year Rural Health Transformation (RHT) cooperative agreement award is roughly $195 million and carries substantial federal oversight that will shape how the state spends the funds.
Jill Olsen, Medicaid and health systems director, told the committee the RHT initiative was created in the federal reconciliation package and that Vermont received one of the nation’s higher per-capita awards. "Rural health transformation is not a grant; it is known as a cooperative agreement," Olsen said, adding that CMS will review and approve every subrecipient grant, contract and payment model the state proposes.
That oversight matters because CMS must release line-item funding before the state can issue…
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