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Health & Welfare hears hospital plea to extend prior-authorization waiver for Medicaid global budgets
Summary
During an April 14 Health & Welfare session on H.611, hospital representatives urged the committee to add language waiving prior authorization for hospitals in Medicaid global-budget pilots; the Department of Vermont Health Access cautioned the change would require major systems work and recommended a subject-matter briefing.
A Health & Welfare committee session on April 14 examined H.611 and a proposal from hospitals to extend a prior-authorization waiver used under the One Care ACO model to Medicaid hospital global-budget pilots.
A representative of Living Green Vermont Association of Hospitals and Health Systems told the committee that "prior authorization is a huge amount of administrative burden for hospitals" and urged language in H.611 to waive most prior-authorizations for hospitals that accept a Medicaid global…
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