VAP Exception Appeals
- VAP Exception for CMS Review is also available in portable document format (PDF, 748KB, 1pg.)
| Provider Type | Accepted by DOH VAP Exception Appeals |
Denied by DOH VAP Exception Appeals |
Applicants Already SN Providers |
Total VAP Exception Appeals received by DOH |
|---|---|---|---|---|
| LHCSA | 7 | 5 | 1 | 13 |
| NH | - | 1 | 2 | 3 |
| Physician | 139 | 942 | 37 | 1,118 |
| Pharmacy | 29 | 7 | - | 36 |
| D&TC | 3 | - | - | 3 |
| CHHA | 9 | 8 | 2 | 19 |
| ACF | 3 | 2 | - | 5 |
| Os | 8 | - | 27 | 35 |
| Harm | 7 | - | - | 7 |
| 1915i | 113 | - | - | 113 |
| HH/CMA | 122 | - | - | 122 |
| Other | 39 | 37 | - | 76 |
| Hospital | 13 | 4 | 1 | 18 |
| Leads (included above) | 11 | - | 1 | 12 |
| Total | 503 | 1,006 | 71 | 1,580 |
Justification for Pass/Fail scoring:
Depending on provider type, if the provider did not prove the following in their narrative or supporting documentation, they were not recommended.
- A community will not be served without granting the exception because no other eligible provider is willing or capable of serving the community.
- Any hospital is uniquely qualified to serve based on services provided, financial viability, relationships within the community, and/or clear track record of success in reducing avoidable hospital use.
- Any state-designated health home or group of health homes.
If a hospital indicated #2 above and did not provide a financial viability analysis (as required) with their submission, they were not recommended.
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