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FREQUENTLY ASKED QUESTIONS AND RESPONSES ABOUT THE FEE CALCULATION FOR HEALTH CARE CLAIMS ASSESSMENT (CCA) & HEALTH INFORMATION TECHNOLOGY ASSESSMENT (HIT) (For additional information, see 8 V.S.A.
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Yes. We could include only VT members as they are covered by a VT product; however, we do include claims of only those members who are covered by a VT product, for example, if they are a member of the VT National Guard. If there is a single Vermont member who is covered by a Federal product, can we estimate their claim based on the Federal cost if we know their Vermont zip code from their FEES data and the Federal cost calculation is less than 3x Federal per capita? In other words, if a VT member is covered by a Federal product and is using one of our products to provide care for the care provider of such a Federal product, is this coverage enough for the Vermont member to have a single Federal claim based on the Vermont cost? If yes, how big is the Vermont Federal claim and does this include Medicare as well? If the Vermont member is insured by a health insurance company, will we be required by law to credit their VT health insurance premium to their Federal cost if we determine their claim using our analysis? Would this apply if they are an outside medicaid or CHIP provider? Response: No, it would not apply: The CHIP reimbursement statute does not include any such requirement for Medicare and neither does the FFS Medicaid reimbursement statute. There are no such requirements for Medicare or Medicaid (with the possible exception of any premium paid by those Vermont Health Partners that utilize Medicare Part B as payment to Medicaid). Please note: The CHIP statute provides that if a child is covered and uses a CHIP-approved provider, and then that child elects to enroll in a Medicaid-approved Medicaid Plan, Medicaid will pay the provider directly for their services and not the CHIP provider. If we are unable to meet at least the standard set by our own cost estimate, shall we assume that the Vermont member is not eligible to claim a claim based on his/her VT zip code because he/she is not subject to State coverage? If no, please describe how we could meet the State's needs. If yes, what other resources do we need. If the Vermont member is a medicaid provider and their claim is based on his/her VT zip code, can we assume that Vermont Medicaid would pay a larger portion of this claim than the Federal Medicaid reimbursement rates for that same treatment? Response: No; you may use our estimate assuming your State of Vermont-sponsored plan would pay a higher portion.

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The Vermont HCCA form refers to the Healthcare Claim Cost and Transparency Reporting form used in Vermont.
Healthcare providers and insurance carriers in Vermont are required to file the Vermont HCCA form.
The Vermont HCCA form can be filled out online using the state's designated portal. It requires the submission of various healthcare cost and quality information.
The purpose of the Vermont HCCA form is to promote transparency in healthcare costs and quality, allowing consumers and policymakers to make more informed decisions.
The Vermont HCCA form requires the reporting of healthcare cost data, such as actual charges, negotiated rates, and any discounts or rebates provided.
The deadline to file the Vermont HCCA form in 2023 has not been announced yet. Please refer to the official Vermont HCCA website or contact the relevant authorities for the most accurate information.
The penalty for the late filing of the Vermont HCCA form may vary. It is advisable to consult the official guidelines or contact the relevant authorities for specific penalty details.
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