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In The News
December 16, 2011 Medicaid Banner Page
Change in Implementation of Earlier Oversight for Outpatient
Pediatric Rehabilitative Therapies
Effective December 9, 2011, the requirement for earlier oversight (greater than 8 visits) for outpatient pediatric
rehabilitative therapies per Emergency Rule AHS Bulletin 11‐11/Secretary of State ID# 11‐E09 will be suspended
pending formal approval of regular rule change by the legislature. Refer to current Rule 7317 for Rehabilitation
Therapy Services. Providers are encouraged to consider continuing to submit requests for medical necessity review
sooner than the 4 month requirement date on a voluntary basis. Earlier review by DVHA will help providers to:
Receive earlier guidance regarding medically necessary evidence based practice
Receive earlier assistance regarding Medicaid regulation and procedures
Avoid recoupments that would otherwise be generated through the retroactive utilization review process
DVHA will continue to work through the rulemaking process, with the anticipated approval of the rule change within
the next several months. For clinical assistance and support, please contact Susan Mason at 802 879‐6396 or
susan.mason@state.vt.us.
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