VAP Exception Appeals

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.

  1. A community will not be served without granting the exception because no other eligible provider is willing or capable of serving the community.
  2. 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.
  3. 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.