Expanding Medicaid Reimbursement to Support Guidelines-Based Asthma Care

In 2014, the Vermont Asthma Program embarked on a policy change initiative to expand Medicaid coverage for asthma self- management education. This brief describes the Program’s approach, course of action, and next steps to expand the Vermont Medicaid benefit to support guidelines-based asthma services. To date, the Program’s path to expanding the Medicaid asthma benefit has involved 1) Building a Business Case, 2) Engaging Stakeholders & Decision-Makers, and 3) Defining a Reimbursement Mechanism. JSI, 2015