The Vermont Statutes Online
Title 33 : Human Services
Chapter 019 : MEDICAL ASSISTANCE
Subchapter 006 : CLINICAL UTILIZATION REVIEW BOARD(Cite as: 33 V.S.A. § 2032)
§ 2032. Role of Department of Vermont Health Access
(a) The Department of Vermont Health Access shall provide the Clinical Utilization Review Board with data support to enable the Board to conduct reviews.
(b) The Department’s Program Integrity Unit shall inform the Board of practices the Unit has identified through its reviews in order to avoid duplication of efforts.
(c) The Department shall provide members of the Board with per diem compensation.
(d) The Department shall have the final authority to evaluate and implement the Board’s recommendations.
(e) The Department shall conduct comprehensive evaluations of the Board’s success in improving clinical and utilization results using claims data and a survey of health care professional satisfaction. The Department shall report annually by January 15 to the House Committee on Health Care and the Senate Committee on Health and Welfare regarding the results of the most recent evaluation or evaluations and a summary of the Board’s activities and recommendations since the last report. The provisions of 2 V.S.A. § 20(d) (expiration of required reports) shall not apply to the report to be made under this subsection.
(f) The Department shall adopt rules pursuant to 3 V.S.A. chapter 25 as needed to implement specific recommendations. (Added 2009, No. 146 (Adj. Sess.), § C34; amended 2013, No. 142 (Adj. Sess.), § 70; 2015, No. 11, § 36.)