Vermont Statutes Title 33 Sec. 6703
Terms Used In Vermont Statutes Title 33 Sec. 6703
- Contract: A legal written agreement that becomes binding when signed.
- following: when used by way of reference to a section of the law shall mean the next preceding or following section. See
- Medicaid: means the medical assistance program authorized under chapter 19 of this title. See
- Medicare: means the health insurance programs authorized under Title XVIII of the Social Security Act. See
§ 6703. Contract for services
(a) Subject to the provisions of subsection (b) of this section, the Commissioner of Vermont Health Access shall contract on an annual basis with individuals or private organizations to provide services authorized by this chapter to dual eligible individuals including pursuit of subrogation claims under section 6705 of this chapter.
(b) The Commissioner shall not be required to enter into contracts under this section if both of the following conditions are met:
(1) The amount of the State’s share of recoveries to the Medicaid program from awards obtained under this chapter during the preceding year did not exceed the payments to the contractors during that year.
(2) The Commissioner determines that the program is not accomplishing its goal of protecting dual eligible individuals from improper denials of Medicare coverage. The Commissioner shall base this determination on information obtained from the contractors, providers of health care, area agencies on aging, and other individuals and organizations affected by the program. (Added 1989, No. 259 (Adj. Sess.), § 2; amended 1999, No. 147 (Adj. Sess.), § 4; 2005, No. 174 (Adj. Sess.), § 128; 2009, No. 33, § 68; 2009, No. 156 (Adj. Sess.), § I.77; 2021, No. 20, § 341.)