Clinical Utilization Review Board is seeking membership for three vacancies.

Posted 3 months ago by Michelle Wade

Greetings,

 

The Department of Vermont Health Access (DVHA) of the State of Vermont’s Agency of Human Services is charged with organizing and facilitating several committees to advise and inform activities related to the state’s Medicaid-funded programs. One of these legislatively mandated committees is the Clinical Utilization Review Board (CURB) established by Act 146 Sec. C34. 33 V.S.A. chapter 19, subchapter 6 during the 2010 legislative session. The Clinical Utilization Review Board is seeking membership for three vacancies. DVHA is contacting your organization to ask if you might consider extending a message via existing media outlets to your members regarding this opportunity to participate in a Governor -appointed position on a board that assists to inform activities of Vermont Medicaid.

 

Clinical Utilization Review Board Background

 

A link to the full statute related to the Clinical Utilization Review Board can be found at: https://legislature.vermont.gov/statutes/section/33/019/02031

 

As an overview, the Department of Vermont Health Access was tasked to create the CURB to:

  • “…examine existing medical services, emerging technologies, and relevant evidence-based clinical practice guidelines and make recommendations to the Department regarding coverage, unit limitations, place of service, and appropriate medical necessity of services in the State's Medicaid programs.”
  • Duties of the CURB include:
  1. To identify and recommend to the Commissioner of Vermont Health Access, opportunities to improve quality, efficiencies, and adherence to relevant evidence-based clinical practice guidelines in the Department's medical programs, and
  2. To recommend to the Commissioner of the Department of Vermont Health Access the most appropriate mechanisms to implement the recommended evidence-based clinical practice guidelines.”

 

At current, the Clinical Utilization Review Board is seeking membership for three vacancies. Members of this this board are appointed by the Governor upon recommendation of the Commissioner of the Department of Vermont Health Access. Eligible candidates will possess diverse medical experience.

 

Past initiatives have included investigating data and making recommendations to the Commissioner at DVHA on topics such as:

  • Pediatric reviews for PT, OT, ST
  • Out of network elective office visits
  • Gold card for radiology procedures
  • Low dose chest CT scans
  • Group and individual psychotherapy

 

Future and current work and topics of review may include:

  • e-Consults
  • Telemedicine
  • Dental benefits
  • Removal of prior authorization for certain services
  • Addition of service coverage

 

Membership Commitment and Application Details

 

Meetings are held every two months from 6:30 p.m. to 8:30 p.m. on the third Wednesday of the month. Meetings are public. During the Governor’s ordered State of Emergency, meetings are being held remotely via the Microsoft Teams platform. In person meetings were held prior with dinner provided.

 

The application process is completed online and can be found at https://governor.vermont.gov/boards-commissions. Additional information about the CURB such as meeting dates, agenda, and minutes can be found at https://dvha.vermont.gov/advisory-boards. Dr. Scott Strenio, Chief Medical Officer for DVHA and the State’s liaison to the Clinical Utilization Review Board can be contacted with additional questions via email at scott.strenio@vermont.gov.

 

On behalf of DVHA and Dr. Scott Strenio,

 

Katie Collette MSN, RN

Clinical Operations Nurse Case Manager

Department of Vermont Health Access

NOB 1 South 280 State Drive

Waterbury, VT 05671-1010

Phone: 802-241-9308

Fax: 802-879-5963

Email: katie.collette@vermont.gov

**Please note updated phone contact information

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