Vermont Obtained CMS Approval to Report Certain Primary Care Service Expenditures in the Indian Health Service Facilities Column on the CMS-64 

We found that the expenditures that the Vermont Agency of Human Services (State agency) reported in the Indian Health Service (IHS) facilities' column of the Form CMS-64 were for primary care services not provided in an IHS facility. However, like services provided in IHS facilities, these primary care services had a Federal medical assistance percentage reimbursement rate of 100 percent. The State agency had obtained CMS approval to report these expenditures in the IHS facilities column. Because Federal reimbursement was correct, this report does not include any recommendations.