(802) 828-4000 Contact Us | Sitemap

Workers’ Compensation Rules

image_pdfimage_print

Workers’ Compensation and Occupational Disease Rules 1-27 – Effective August 1, 2015; Last Amended November 1, 2016
Download All Rules [PDF]
Vermont Department of Health Rule Governing the Prescribing of Opioids for Chronic Pain (for reference in conjunction with Workers’ Compensation Rules 11.1400 and 12.1730)

Rule 45 – Rules for Administrative Citations and Penalties, Stop Work Orders and Debarment – Effective February 13, 2017
Download All Rules [PDF]

Vocational Rehabilitation Rules (Rule 50) – Adopted March 5, 2007; Last amended November 1, 2016
Adopted Rule [PDF]
Adopted Rule Cover Sheet [PDF]

Rule 40 and Interpretative Memoranda- Effective 5/15/06 
To access the Workers’ Compensation Fee Schedule you will need to enter into the AMA License Agreement. You can access this by clicking on the AMA License Agreement link below.

AMA License Agreement
Applicable FARS/DFARS Restrictions Apply to Government Use
If you have any questions concerning the application of the fee schedule, please contact Trudy Smith at (802) 828-2991 or email trudy.smith@vermont.gov.

The following tables are now available online in Adobe PDF Format. You must click on the link above (AMA License Agreement) and read and accept the license agreement.

APPENDIX I; Table A: MAXIMUM ALLOWABLE BASE UNIT VALUES FOR ANESTHESIA REIMBURSEMENT PER RULE 40.040(c)

APPENDIX I; Table B: MAXIMUM ALLOWABLE PAYMENTS PER SECTION 40.020.

APPENDIX II: OTHER SERVICES WHICH CAN BE BILLED WITH THE -50 MODIFIER PER SECTION 40.060 (G).

APPENDIX III: PAYMENT FOR MAJOR PROCEDURES (UNBUNDLING) PER SECTION 40.021 (F).

Interpretative Memorandums
Code Clarification Memorandum – Dated October 18, 2006 [PDF]
DMEPOS Reimbursement Memorandum – Dated March 11, 2009 [PDF]

Workers’ Compensation Mediation Rule
Download Rule [PDF]
Approved Mediator List [PDF]
Alternative Dispute Resolution Report [PDF]

Workers’ Compensation Rules in Effect Prior to 8/1/2015
Download All Rules [PDF]

Workers’ Compensation Rules 1-46
The effective date of these rules is August 2, 2001.
Download rules [PDF]

Rule 45 – Rules for Administrative Citations and Penalties – Adopted May 5, 2001 effective until February 13, 2017
Download All Rules [PDF]

Administration Fund Rule
Text of Rule [PDF]
Legislature adjusts the assessment rate annually. Please see 21 V.S.A. §711. You can access this by clicking here.

Rule 40, Workers’ Compensation Fee Schedule, and Related Interpretative Memoranda, Effective 4/15/98 – 5/14/06

AMA License Agreement
If you have any questions concerning the application of the fee schedule, please contact Trudy Smith at
(802) 828-2991 or email trudy.smith@vermont.gov.

The following tables are now available online in Adobe PDF Format. You must click on the link above (AMA License Agreement) and read and accept the license agreement.

APPENDIX I; Table A: MAXIMUM ALLOWABLE BASE UNIT VALUES FOR ANESTHESIA REIMBURSEMENT PER RULE 40.040(c)

APPENDIX I; Table B: MAXIMUM ALLOWABLE PAYMENTS PER SECTION 40.020.

APPENDIX II: OTHER SERVICES WHICH CAN BE BILLED WITH THE -50 MODIFIER PER SECTION 40.060 (G).

APPENDIX III: PAYMENT FOR MAJOR PROCEDURES (UNBUNDLING) PER SECTION 40.021 (F).

Interpretative Memorandums:
Interpretative Memorandum; dated June 9, 1998
Rule 40, Workers’ Compensation Fee Schedule, and Related Interpretative Memoranda, Effective 4/1/95 – 4/14/98 
Please contact Trudy Smith, (802) 828-2991, trudy.smith@vermont.gov for copies of the following tables:

APPENDIX I: MAXIMUM ALLOWABLE PAYMENTS PER SECTION 40.020.
ADDENDUM A TO APPENDIX I. Effective date September 15, 1995
APPENDIX II: PROCEDURES RELATING TO HOSPITAL REIMBURSEMENT PER SECTION 40.022 (B).
APPENDIX III: OTHER SERVICES WHICH CAN BE BILLED WITH THE -50 MODIFIER PER SECTION 40.060 (G).
APPENDIX IV: PAYMENT FOR MAJOR PROCEDURES (UNBUNDLING) PER SECTION 40.021 (F).
Interpretative Memorandums:
Interpretative Memorandum Number 1. July 28, 1995 [PDF]
Interpretative Memorandum Number 3. May 10, 1996 [PDF]
Hospital Clarification Memo [PDF]
Payment Clarification Memo [PDF]

Rule 11 – Permanent Loss of Physical Functions – Injuries prior to 4/1/95

Administrative Citations and Penalties
Text of Rule 45, Administrative Citations and Penalties. Effective date: April 1, 1995 [PDF]

Rule 10.0000 Attorney Fees and Costs; Attorney Liens in Workers’ Compensation Cases – effective 5/19/2010
Download Rule 10.0000 [PDF]
Rule 10.0000 Cover Letter addressing changes [PDF]

Bennington Sarcoidosis Claim Rules 
Adopted Rule Filing Forms [PDF]
Adopted Rules [PDF]
Act 53 – 2007-2008 General Assembly

Rules Incorporated By Reference
Vocational Rehabiliation Rule [PDF]
Workers’ Compensation Rules 1- 46 [PDF]
Workers’ Compensation Rule 40 Medical Fee Schedule – scroll to bottom of agreement and click accept.