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Committee reviews EFR report: 33 Medicaid nursing homes, heavy Medicaid dependence and recoupment explained

House Committee on Human Services · April 1, 2026
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

Department of Vermont Health Access officials told the House committee that 26 of 33 Medicaid-participating nursing homes derive 60%+ of revenue from Vermont Medicaid; lawmakers asked for updated 2025 data and a breakdown of amounts requested versus EFR amounts awarded.

At a House Committee on Human Services briefing, Jamie Mooney, director of the Division of Rate Setting at the Department of Vermont Health Access, summarized a report prepared under budgeting language tied to section E306B on extraordinary financial relief (EFR) for nursing homes. Mooney told the committee the report lists 33 Medicaid-participating nursing homes and three that do not participate in Medicaid, and that ownership in the universe includes 23 for-profit facilities, six nonprofits, three hospital-related nonprofits and one state facility.

Mooney said payer-mix data in the report show 26 of the 33 facilities—about 79%—derive 60% or more of…

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