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Division of Rate Setting and 1 more...

Dept. of Vermont Health Access

% of PNMI desk reviews completed by October 31st

Current Value

75.0%

SFY 2025

Definition

Notes on Methodology

% of PNMI desk reviews completed by October 31 SFY 21 SFY 22 SFY 23 SFY 24    
Total # of desk reviews 15 13 12 12    
% of PNMI desk reviews completed by October 31 SFY 21 SFY 22 SFY 23 SFY 24 SFY 25 SFY 26
Total # of desk reviews 15 13 12 12 12 12
# desk reviews completed by October 31 7 4 8 9 9 9
% of PNMI desk reviews completed by October 31 46.7% 30.8% 66.7% 75.0% 75.00% 75.00%

 

Story Behind the Curve

This measure is important because DRS uses this measure to evaluate the performance of the division and how effectively it completes work and provides accurate and timely rates to the PNMI providers in Vermont.

The timing of the desk review findings is important to limit the amount of rebilling the providers have to do, which is an administrative burden on the provider.  The data shows how effectively and timely the division is completing the audits of the funding applications submitted annually by each of the 12 PNMI providers. The funding application is a summary report of the programs costs, which the Division uses the resulting data of each audit to set a Medicaid rate for the providers.

Narrative last updated: 03/25/2024

Partners

  • Private Nonmedical Institution (PNMI) programs
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Scorecard Container Measure Action Actual Value Target Value Tag S A m/d/yy m/d/yyyy