Vermont § 6703 - Contract for services

§ 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.)