The Vermont Statutes Online

Title 33 : Human Services

Chapter 019 : Medical Assistance

Subchapter 001 : Medicaid

• § 1904. Medicaid School-Based Services Program

  (a)(1) It is the intent of the General Assembly that the State of Vermont maximize its receipt of federal reimbursement for medically related services provided to students who are eligible under Title XIX (Medicaid) of the Social Security Act.

  (2) It is also the intent of the General Assembly that Vermont’s School-Based Medical Assistance Program shall comply with all federal Medicaid requirements. As the State Medicaid agency, the Agency of Human Services shall have sole responsibility for determining and maintaining program compliance.

  (b) The Agency of Education shall be responsible for coordination of the School-Based Medical Assistance Program with statewide education policy and objectives and for communicating with supervisory unions.

  (c) The Agency of Human Services shall adopt rules in accordance with 3 V.S.A. chapter 25 to identify the services that are available through the School-Based Medical Assistance Program and to set forth the requirements for supervisory union participation. The rules shall include State and federal requirements for:

  (1) Medicaid reimbursement;

  (2) participation in a Random Moment Time Study and an electronic health records system;

  (3) Medicaid cost reports;

  (4) provider enrollment and trainings;

  (5) service documentation;

  (6) Medicaid eligibility; and

  (7) any other provisions necessary for compliance with the Medicaid program.

  (d)(1) The Agency of Human Services shall support supervisory unions by funding and providing the technical elements of the Program necessary for federal compliance.

  (2) Supervisory unions delivering medically related services pursuant to the Medicaid School-Based Services Program shall participate in a Random Moment Time Study and an electronic health records system as directed by the Agency of Human Services to enable Medicaid billing of direct health services and Medicaid administrative claiming activities. (Added 2025, No. 144 (Adj. Sess.), § E.307.2, eff. October 1, 2026.)