An approved candidate may call or visit www. Examinations are available in-state in Burlington. Vermont candidates are also welcome to schedule at approved testing sites located in other states.
Examinations are available on weekdays during the first two full weeks of each month excluding major holidays. Some sites have Saturday scheduling. Graduates will need to work under supervision for a period of at least two years. They must accrue at least 3, experience hours, with at least 2, consisting of direct service. The supervisor may be licensed as a clinical mental health counselor or as a clinical social worker, psychiatric nurse practitioner, marriage and family therapist, or psychologist.
Supervision by a medical doctor is permissible if the doctor is certified in psychiatry. Whatever his or her discipline, the supervisor must have held a license in good standing for at least three years. The unlicensed psychotherapist will need at least hours of face-to-face supervision a rate of one hour per thirty experience hours. At least 50 of the supervision hours must be individual.
Group supervision sessions may include up to six supervisees. The candidate may begin after all degree requirements have been met, even if the formal graduation date is still in the future — provided that he or she is registered with the Board.
M "Health insurer" means any health insurance company, nonprofit hospital service corporation and nonprofit medical service corporation, managed care organization, and, to the extent permitted under federal law, any administrator of an insured, self-insured, or publicly funded health care benefit plan offered by public and private entities. N "License" means a review agent's license granted by the Commissioner O "Manage care organization" means any financing mechanism or system that manages health care delivery for its members or subscribers, including but not limited to health maintenance organizations, preferred provider organizations, exclusive provider organizations and any other health care delivery system or organization that manages health care delivery for its members or subscribers, or that issues a health insurance policy, plan, or subscriber contract which operates to manage health care delivery.
The term managed care organization includes a mental health review agent as defined in 8 V. Q "Medical or scientific evidence" means the following sources: 1. Peer-reviewed scientific studies published in or accepted for publication by medical journals that meet nationally recognized requirements for scientific manuscripts and that submit most of their published articles for review by experts who are not part of the editorial staff. Findings, studies or research conducted by or under the auspices of federal government agencies and nationally recognized federal research institutes, including the Agency for Health Care Research and Quality, National Institutes of Health, National Cancer Institute, National Academy of Sciences, Centers for Medicare and Medicaid Services, and any national board recognized by the National Institutes of Health for the purpose of evaluating the medical value of health services.
Peer-reviewed abstracts accepted for presentation at major medical association meetings. R "Medically necessary care" means health care services, including diagnostic testing, preventive services and aftercare, that are appropriate in terms of type, amount, frequency, level, setting, and duration to the member's diagnosis or condition. Medically necessary care must be informed by generally accepted medical or scientific evidence and consistent with generally accepted practice parameters as recognized by health care professions in the same specialties as typically provide the procedure or treatment, or diagnose or manage the medical condition; must be informed by the unique needs of each individual patient and each presenting situation; and 1.
S "Member" means any individual who has entered into a contract with a health insurer or managed care organization for the provision of health care services, or on whose behalf such an arrangement has been made, as well as the individual's dependents covered by the contract.
T "Mental health care services" means acts of diagnosis, treatment, evaluation or advice or any other acts permissible under the health care laws of Vermont, whether performed in an outpatient or an institutional setting, and includes alcohol and drug abuse treatment. U "Person" means a natural person, partnership, unincorporated association, corporation, limited liability company, municipality, the state of Vermont or a department, agency or subdivision of the state, or other legal entity.
V "Practicing mental health care provider" means any person certified or licensed to provide mental health care services and currently providing such services, including but not limited to a physician, nurse with recognized psychiatric specialties, psychologist, clinical social worker, mental health counselor, or alcohol or drug abuse counselor. W "Review agent" means a person or entity performing service review activities who is either affiliated with, under contract with, or acting on behalf of a business entity in this state; or a third party who provides or administers mental health care benefits to citizens of Vermont, who are members of health benefit plans subject to the Department's jurisdiction, including a health insurer, nonprofit health service plan, health insurance service organization, health maintenance organization or preferred provider organization, including organizations that rely upon primary care physicians to coordinate delivery of services.
X "Review agent medical director" means a Vermont-licensed physician who is board-certified or board-eligible in his or her field of specialty as determined by the American Board of Medical Specialties ABMS or the American Osteopathic Association AOA , and who is charged by a mental health review agent with responsibility for overseeing all clinical activities of the mental health review agent in Vermont, or his or her designee.
Y "Service review" means any system for reviewing the appropriate and efficient allocations of mental health care services given or proposed to be given to a member or group of members for the purpose of recommending or determining whether such services should be reimbursed, covered or provided by an insurer, plan or other entity or person and includes activities of utilization review and managed care, but does not include professional peer review which does not affect reimbursement for or provision of services.
Z "Treating mental health care provider" means any person, corporation, facility or institution certified or licensed to provide mental health care services that is providing treatment to a member of a health benefit plan, including but not limited to a physician, nurse with recognized psychiatric specialties, hospital or other health care facility, psychologist, clinical social worker, mental health counselor, alcohol or drug abuse counselor, employee or agent of such provider acting in the course and scope of employment, or agency related to mental health care services.
AA "Utilization management" means the set of organizational functions and related policies, procedures, criteria, standards, protocols and measures used by a managed care organization or pharmaceutical benefit management program to ensure that it is appropriately managing access to and the quality and cost of health care services, including prescription drug benefits, provided to its members.
BB "Utilization review" means a set of formal techniques designed to monitor the use of, or evaluate the clinical necessity, appropriateness, efficacy, or efficiency of, health care services, procedures, or settings, including prescription drugs.
Section 4. Applicability and Scope. Any person or entity meeting the definition of review agent shall not conduct or arrange for service review in this state without a valid and current review agent's license. All parties to any contracts between a third party payor and any person or entity conducting service review activities, directly or indirectly, whether affiliated or not, are responsible for compliance with the requirements and standards of this rule and all other applicable state and federal laws and rules, including but not limited to Department Rules H and HXX.
A license is not transferable or assignable and is valid only for the person or entity named in the application. Section 5. Requirements for Licensure. A A review agent license or license renewal may be granted if the applicant demonstrates to the satisfaction of the Department, or its delegate s , that it: 1. Nothing in this subsection shall prohibit capitation arrangements for reimbursement of mental health care services; 4.
Section 6. License Application. A An application for an initial license as a review agent shall include, in a form prescribed by the Commissioner: 1. Any such disclosures shall include a description of the matter, including dates; how the matter was resolved, if not a confidential settlement; and the subsequent history of the matter, including details of any settlement, restrictions, conditions, limitations and penalties.
Many licensees have contacted the Board with a variety of questions regarding COVID as it relates to medical licensure, rules and regulations. Here are the forms and information required for medical licensure and certification in Vermont. You must complete both the online application and the required forms, which are downloadable here. The Board investigates complaints of unprofessional conduct and may issue reprimands or revoke, suspend or place conditions on professional licenses and certifications, or take action where appropriate to protect public health and safety.
The Board of Medical Practice is committed to protecting the public, promoting good practice, and supporting our licensees with licensing services and information. Use the eLicense system to find public information about physicians, physician assistants, anesthesiologist assistants or radiologist assistants licensed in Vermont. The dates listed on this schedule are provided for the convenience of those interested in the licensing process. Here you will find links to statutes, rules, policies and resources to help you find the answers to questions about medical practice in Vermont.
Statewide Public Records Request. Vermont Medical Society. Federation of State Medical Boards. American Board of Medical Specialties. Hospital Licensing and Protection. Medical Marijuana Registry Program. Patient Choice and Control at End of Life. Physician Assistant License Renewal Important Board Statute Changes as of July 1, Emergency Licenses for Health Care Professionals Licensed in Other States The Board has the enduring authority to issue temporary emergency licenses to physicians MD , physician assistants, and podiatrists who are licensed in at least one other state and in good standing in all other states where they hold licenses.
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