Global Commitment to Health Medicaid 1115 Demonstration Waiver

The Vermont Medicaid program faces the prospect of a cumulative deficit over the upcoming five fiscal years, if unaddressed, of approximately $370 million in state funds. Vermont will not be able to sustain its existing services because it cannot provide the state share needed for reimbursement by the federal government. To help address the Medicaid crisis, as of October 1, Vermont entered into a new five year comprehensive 115 federal Medicaid demonstration waiver called the Global Commitment to Health. This document explains the details of the waiver.