AFC Authorized Agency Provider Enrollment Application
Friday, July 13, 2018
Disabilities, Aging and Independent Living
Medicaid
ERC Overview and Provider Enrollment Application Procedures
Friday, July 13, 2018
CFC & TBI Provider Enrollment Process
Friday, July 13, 2018
PERS Provider Enrollment Application
Friday, July 13, 2018
TBI Provider Enrollment Application
Friday, July 13, 2018
ERC Provider Enrollment Application
Friday, July 13, 2018
Adult Day Provider Enrollment Application
Friday, July 13, 2018
Provider Enrollment
The Adult Services Division is responsible for approving all new providers of the Choices for Care (home-based, Adult Family Care, Enhanced Residential Care) and Traumatic Brain Injury programs. This page provides an overview of the provider enrollment process by provider type and provider-specific fillable enrollment applications.
CFC Application 202LTC
Friday, June 15, 2018
Launch of the National Core Indicator consumer experience survey.
16 February 2018
Pages
Contact Us
Megan Tierney-Ward, Division Director
HC 2 South, 280 State Drive
Waterbury, VT 05671-2070
Voice: (802) 241-0294
Fax: (802) 241-0385
For Telecommunications Relay Service: Dial 711
Connect with Us
Limited English Proficiency (LEP)
This is a Division of the
Department of Disabilities, Aging and Independent Living
under the Agency of Human Services