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Vermont presenter outlines how emergency financial relief is awarded, flags hospital-owned and very small homes
Summary
Helen Leven of the Vermont Healthcare Association reviewed the state’s extraordinary financial relief (EFR) rules, saying large awards have tended to flow to hospital-owned nursing homes while very small facilities use EFR to cover disproportionate costs; she described eligibility, an 18-month review and an expedited advance process for imminent closures.
Helen Leven, executive director of the Vermont Healthcare Association, told the House Human Services Committee that extraordinary financial relief (EFR) is a regulatory mechanism to preserve Medicaid beds when temporary external factors threaten a facility’s viability. She said the relief is intended to protect Medicaid recipients from losing access if a nursing facility were to close.
Leven explained EFR’s two-part eligibility test: a facility must (1) provide Medicaid as part of its payer mix and (2) operate beds the state has designated…
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