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DDS Payment Reform - Encounter Data Workgroup

Due to the uncertainties related to the current COVID-19 pandemic, the Department of Disabilities, Aging and Independent Living (DAIL) has decided that activities related to the Developmental Disabilities Services Payment Reform that involve provider agencies will be suspended until further notice.  Providers need to focus their energies and resources on the delivery of critical services for individuals and families.  DAIL has not yet decided whether to suspend work on DDS Payment Reform for the internal State team.  There may be some work that can continue to prepare to resume the project at a future date.  It is possible that State team members may be diverted to other critical functions in State Government as the situation evolves.  

Further updates will be provided as things change.  For this reason, all the Payment Reform meetings with members outside of the State will be cancelled except the April 3 Advisory Committee meeting.  This will be a Skype meeting only.  We will use that meeting to provide an update and answer any questions people have regarding the project.  We will also be posting a summary of the work that has been completed to date on the DDSD website.  

Feel free to email clare.mcfadden@vermont.gov if you have questions.

The Encounter Data Workgroup is focused on how provider agencies report report to the State information about services delivered to individuals.  It has been determined that the provider agencies will be reporting services through the Medicaid Management Information System. This workgroup will provide input into the implementation of this new process.

Meeting Schedule (Note:  Meetings are subject to change.)
Due to required security notification, participants attending meetings at the Waterbury State Office Complex are required to let the State contact know of your participation at least 5 days in advance of the meeting; but no further than 2-weeks in advance.

Meeting Agendas, Meeting Minutes, Handouts, and Resources

Encounter Data Submission Guidance: This document provides instruction and information on submission of DDSD encounter claims, procedure codes and modifiers, and provider requirements and responsibilities.  It can be expected that the guidance and process for reporting to the MMIS will require additional adjustments, guidance and process modifications as providers begin reporting.

Encounter Data Submission Guidance Webinar:  A training on the Encounter Data Submission Guidance was conducted on February 26, 2021.  For any follow-up questions, please email clare.mcfadden@vermont.gov.

Frequently Asked Questions (FAQ) about Encounter Data Submission Guidance V4 - This document includes questions and answers posed during and after the webinar on Encounter Data Submission Guidance for DDS, v4.  Additional questions may be sent to Jessica.bernard@vermont.gov