The Department of Disabilities, Aging, and Independent Living (DAIL), in partnership with the Department of Vermont Health Access (DVHA), is working on a major Payment Reform initiative for Developmental Disabilities Services (DDS) Home and Community-Based Services (HCBS). The overall goal of this project is to create a transparent, effective, and administrable payment model for developmental disabilities (DD) services that aligns with the Agency of Human Service's (AHS) broader payment reform and health care reform goals. One of the major objectives of the reform is to comply with the State's agreement with the federal Centers for Medicare & Medicaid Services (CMS) to develop a plan to coordinate payment and delivery of Medicaid HCBS services within the State's delivery reform efforts for health care. Another major objective is to increase transparency and accountability of DD services, as recommended by the Office of the Vermont State Auditor.
DDS Payment Reform - Supports Intensity Scale Adults: Information about the standardized assessment tool used to identify support needs.
Payment Model: Proposed draft payments models and rates for July 1, 2025.
Encounter Data: Guidance for provider agencies to report information to the State about services delivered to individuals.