Long Term Services and Supports

Adult High Technology Program

Adult High Technology services provides skilled nursing care to people age 21 and over living in home-based settings who are eligible for Vermont Medicaid and depend on medical technology to survive. Services include nursing services, coordinated treatments, medical supplies and sophisticated medical equipment. Services are provided through Designated Home Health Agencies.

On January 10, 2014, the Centers for Medicare and Medicaid Services (CMS) issued final regulations regarding home- and community-based settings (HCBS).

Vermont’s five Area Agencies on Aging (AAA) in partnership with the White River Junction Veterans Administration Medical Center (VAMC) help Veterans to remain in their homes and communities through self-directed services.  Eligible Veterans are able to decide how to use a flexible budget to meet their needs where they desire to live.

In 1991, the Department of Aging and Disabilities and the Department of Social Welfare began the operation of a three-year pilot project offering community-based rehabilitative services. The goal of this program was to divert people from facility placement and/or return Vermonters with a moderate to severe traumatic brain injury from out-of-state facilities. Prior to the development of this service, people were placed in expensive out of state facilities, often there for years, with little hope of returning to their home communities.

CALL:  800-889-2047

Choices for Care (High/Highest) provides a package of long-term services and supports to Vermonters who are age 18 years and over and need nursing home level of care. People who need nursing home level of care typically require extensive or total assistance on a daily basis with personal care. Eligible people choose where to receive their services: in their home, in their family’s home, an Adult Family Care home, Enhanced Residential Care or nursing facility. People must meet a clinical and financial eligibility for long-term care Medicaid in Vermont.

The Attendant Services Program (ASP) supports personal care services for adults with a “severe and permanent disability” who need physical assistance with activities of daily living (such as bathing, getting dressed and eating) to remain in their homes. Applicants must be able to direct their own attendant care services. Payroll and employer services occur through a Fiscal Employer Services Agency called ARIS Solution.