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The Vermont Department of Disabilities, Aging, and Independent Living (DAIL), in partnership with the Department of Vermont Health Access (DVHA), plans to launch a new payment model for home- and community-based services (HCBS) for people with intellectual/developmental disabilities (I/DD). Starting October 1, 2025, the new model will use the Supports Intensity Scale-Adult (SIS-A) needs assessment to create budget ranges based on need. Across HCBS types, provider organizations will receive the same rates for providing the same services to various populations. The new model is intended to make individual budgets easier to track, show what services . . .

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