HIPAA compliant, BAA available

Measurement-Based Care for Vermont Mental Health Teams

For designated agencies, certified community clinics, primary care practices and private clinicians from Burlington to Brattleboro. Vermont requires standard assessments at every designated agency and is measuring depression remission at its new CCBHCs; HiBoop sends validated scales by email or QR code, scores them on submission and charts each client's change. US customer data stays in Google Cloud US regions.

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HIPAA compliant, BAA available
Hosted on US soil
SOC 2 Type II
Scored the moment it is sent
100+
validated assessments
BAA
signed with HIPAA covered entities
US
regions where US data is stored
$25
per month

Vermont Already Requires Standard Assessments

  • Vermont's Department of Mental Health requires the ANSA and CANS at every Certified Community Behavioral Health Clinic (CCBHC), Designated Agency and Specialized Service Agency, and staff must be trained and certified to use them. Vermont became a federal CCBHC demonstration state in 2024; two clinics launched in 2025, Clara Martin Center and Rutland Mental Health Services, and four more in 2026.

    The state's CCBHC certification guide asks clinics for SAMHSA's screening tools, the PHQ-2 or PHQ-9 for depression among them, plus the CANS and ANSA with two added questions on food insecurity and utility payments. Clinics collect their own quality measures, including depression remission at six months, and the guide refers to tools used in ongoing measurement-based care. For clinics certified in 2025, the first measurement year is 2026.

    Remission at six months needs the same scale at the start and six months on, recorded for every client. HiBoop sends the PHQ-9 and GAD-7, scores them on submission and charts each client's series, with exports for your own measure reporting. It does not complete the CANS or ANSA and does not submit data to the state.

  • ANSA and CANS Required

    At every CCBHC, Designated Agency and Specialized Service Agency, by certified staff

  • Six CCBHCs by 2026

    A demonstration state since 2024, with the first measurement year in 2026

  • Screening and Collaborative Care Codes

    Vermont Medicaid's fee schedule lists 96127 and 99492 to 99494

All regions

How HiBoop Helps Vermont Care Teams

  • Vermont organizes public mental health through ten designated agencies, lets young people consent to their own counselling, and keeps mental health records confidential by statute. HiBoop handles the scales and scores; clinical judgement stays with you.

  • Depression Remission, Ready to Count

    Send the PHQ-9 at intake and on a schedule afterwards, and every score joins one chart per client. When your CCBHC reports depression remission at six months, the baseline and follow-up are already recorded. Scores inform judgement; they do not replace it.

  • Beside the CANS and ANSA

    The CANS and ANSA capture needs and strengths through a certified clinician. HiBoop adds what the client reports between those reviews, such as the PHQ-9, GAD-7 or PCL-5, so change in symptoms is visible too.

  • For Young People Seeking Help

    Vermont lets a minor consent to outpatient counselling from a mental health professional. The PHQ-A, SCARED and CRAFFT-2.1 go to a young person's phone, and role-based access controls who on your team sees their scores.

  • Billing Codes Medicaid Lists

    Vermont Medicaid's fee schedule lists 96127 for standardized screening and 99492 to 99494 for psychiatric collaborative care. HiBoop gives you the scored scale behind each; your billing team applies the payer's rules.

  • Agencies and Group Practices

    Team and Network plans let a designated agency or group practice keep every program on one account, with access set by role.

  • Exports for Measure Reporting

    Export score histories as CSV or PDF for treatment reviews, records requests or the clinic-collected measures your organization prepares.

Mental health in Vermont

Research data

  • Each figure below links to the source it comes from.

  • 29.1%

    of Vermont adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 24.2%

    of Vermont adults aged 18 to 25 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 17.9%

    of Vermonters aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Vermont

  • Adolescent depression screening

    After 17 Vermont pediatric practices joined a quality improvement collaborative, depression screening rose from 34% to 97% over 7 months, and adolescents there had 37.5 times greater odds of being screened with a validated tool than at 21 control practices.

    Harder et al., Academic Pediatrics, 2019 PMID 30858080

  • PHQ-9 over a course of care

    In the University of Vermont Medical Center's cardiac rehabilitation program, 1,201 patients completed the PHQ-9 at entry and exit; 32% had at least mild symptoms at entry, and 73% of those moved down at least one severity category by the end.

    Middleton et al., Journal of Cardiopulmonary Rehabilitation and Prevention, 2022 PMID 34840245

  • Medical homes and community health teams

    Across 123 practices in Vermont's Blueprint for Health medical home program, risk-adjusted spending fell by $482 per person relative to comparison practices, and participants kept higher rates on 9 of 11 preventive and effective care measures.

    Jones et al., Population Health Management, 2016 PMID 26348492

  • Collaborative network care

    Interviews with 17 people who received the Collaborative Network Approach, Vermont's adaptation of Open Dialogue, at two agencies found it well received and appreciated; shared decision-making and the focus on family and social networks were among the themes.

    Florence et al., Psychiatric Quarterly, 2021 PMID 34453270

How Vermont Runs Public Mental Health

  • None of these bodies endorses or connects to HiBoop. They shape the funding, certification and licensing your Vermont organization answers to.

  • Designated and Specialized Service Agencies

    Department of Mental Health

    Ten Designated Agencies provide community care for mental health conditions, substance use disorders and developmental disabilities, and two Specialized Service Agencies, Pathways Vermont and Northeastern Family Institute, serve adults and families. DMH's quality team reviews each agency at least every four years, and each CCBHC at least every three.

    Ten agenciesANSA and CANSQuality reviews

  • CCBHC Demonstration

    Since 2024

    Six clinics have launched as CCBHCs: Clara Martin Center and Rutland Mental Health Services in 2025, then Northeast Kingdom Human Services, Howard Center, Northwestern Counseling and Support Services and Healthcare and Rehabilitation Services of Southeastern Vermont in 2026. Each is paid a daily prospective rate and must update its records system to report the required quality measures.

    Six clinicsDaily rateDEP-REM-6

  • Vermont Medicaid

    Global Commitment

    Medicaid runs under the Global Commitment to Health, a section 1115 demonstration waiver, with the Department of Vermont Health Access managing provider payment. Its online fee schedule lists 96127 for brief emotional or behavioural assessment and 99492, 99493 and 99494 for psychiatric collaborative care management, without prior authorization.

    DVHA9612799492 to 99494

  • 988 and Telehealth Licensing

    Statewide

    Northeast Kingdom Human Services and Northwestern Counseling and Support Services run Vermont's two 988 call centres. Clinicians licensed in another state can obtain a Vermont telehealth licence to see up to 20 unique Vermont clients over its two-year term.

    988Telehealth licenceTwo call centres

Care Teams Across Vermont

  • HiBoop runs in a web browser, so a Burlington clinic and a clinician in the Northeast Kingdom use the same check-ins. Each line names the designated agency for the area.

  • Chittenden County

    Howard Center, which launched as a CCBHC in 2026, serves Burlington and the surrounding county.

  • Northeast Kingdom

    Northeast Kingdom Human Services, with offices in Derby and St. Johnsbury, is a CCBHC and one of the state's two 988 call centres.

  • Northwestern Vermont

    Northwestern Counseling and Support Services became a CCBHC in 2026 and runs the state's other 988 call centre.

  • Rutland

    Rutland Mental Health Services was one of Vermont's first two CCBHCs, in 2025.

  • Central Vermont

    Washington County Mental Health serves Montpelier, Barre and the surrounding towns.

  • Southeastern Vermont

    Healthcare and Rehabilitation Services of Southeastern Vermont, a CCBHC since 2026, serves the southeast of the state.

  • Bennington and Manchester

    United Counseling Service has offices in Bennington and Manchester in the state's southwest.

  • Addison County

    The Counseling Service of Addison County serves Middlebury and the rest of the county.

Data sovereignty

Why Vermont clinics choose HiBoop

  • Why Vermont Teams Use HiBoop

    • Client data from US accounts lives only in US-based Google Cloud regions, encrypted at every step
    • HIPAA compliant with BAAs on request, and SOC 2 Type II certified
    • Every view and export of client data is logged, and roles decide who can see what
    • Care runs $25/month for one clinician, any month cancellable, no card to start
    • Clients use their own phone, opening a link from email or scanning a QR code

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, paid monthly
    $25
    USD/month
    Team
    Price to begin, unlimited clinicians
    $200
    USD/month
    Network
    Arranged for multi-site organizations
    Custom
    Enterprise pricing

100+ validated scales for Vermont clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Depression, Anxiety and Suicide Risk

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • C-SSRS Screener (Suicide Risk)

  • Substance Use and Trauma

    • ASSIST (Substance Involvement)
    • TAPS (Tobacco, Alcohol, Drugs)
    • PCL-5 (PTSD)

  • Youth and Families

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • CRAFFT-2.1 (Adolescent Substance Use)
Browse all assessments

Vermont Mental Health Records and Consent

  • HIPAA is the federal baseline. Vermont keeps mental health records confidential by statute, extends privilege to mental health professionals and lets minors consent to counselling. None of these laws certifies software; your organization carries the duties, and HiBoop's job is to give you tools that support them.

  • What Vermont law asks

    • Keep confidential the records and clinical information of people receiving mental health services, with fines up to $2,000 or imprisonment for violations (18 V.S.A. 7103)
    • Do not disclose what a mental health professional learns while attending a client, including in joint or group sessions, except as the privilege law allows (12 V.S.A. 1612)
    • Accept a minor's own consent to outpatient psychotherapy or counselling from a mental health professional, with no parental consent needed; it does not extend to prescription drugs (18 V.S.A. 8350)
    • Accept consent from a minor aged 12 or older for treatment of drug dependency once a licensed physician has verified it (18 V.S.A. 4226)

  • What HiBoop provides

    • A BAA ready for any designated agency or practice that needs one
    • Confidential by default: scores are visible only to roles you grant and leave only through your exports
    • Per-role permissions, and an audit entry whenever client data is viewed or exported
    • SOC 2 Type II certification, with details on our trust page

  • Doing due diligence on HiBoop?

    The trust page describes our hosting, encryption, access controls and SOC 2 Type II certification. Write to us for a BAA or a completed questionnaire.

    View the trust page

Grants & funding for Vermont mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Vermont practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • CCBHCCCBHC Measurement Guide

    The screening tools and quality measures behind the certified clinic model

  • Collaborative careCPT 99492 Explained

    The first month of psychiatric collaborative care and what it requires

  • DepressionPHQ-9 Clinical Guide

    Scoring and how remission is judged on repeat use

  • LibraryFull Library of Scales

    Browse every scale, from adolescent depression to trauma, with its sources

Vermont DMH, Medicaid and Statute Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • How much measurement does Vermont require?

    Partly, and more than most states. The ANSA and CANS are required at every CCBHC, Designated Agency and Specialized Service Agency, and Vermont's CCBHCs report clinic-collected measures such as depression remission at six months. We found no statute requiring private practices to use symptom scales, so outside those programs it is your choice.

  • Can HiBoop replace the CANS or ANSA?

    No. Those tools are completed by certified staff and remain required where DMH says so. HiBoop sits beside them, adding client-reported scales such as the PHQ-9 and GAD-7 between reviews, scored on submission and charted for each client.

  • Can a teenager in Vermont start counselling without a parent?

    Yes. Under 18 V.S.A. 8350, a minor may consent to outpatient psychotherapy or counselling from a mental health professional, and a parent's consent is not needed; the statute sets no minimum age and does not cover prescription drugs. How you involve families is a clinical and legal decision, so check with your counsel. HiBoop's role-based access lets you limit who sees a young client's scores.

  • Does Vermont Medicaid pay for 96127 and collaborative care codes?

    Vermont Medicaid's online fee schedule lists 96127 and 99492, 99493 and 99494, effective 1 January 2026 and without prior authorization. Rates, units and documentation rules come from DVHA, so confirm them there before you bill. HiBoop provides the scored scales; it does not bill on your behalf.

Official sources for Vermont

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.