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