Choices for Care (Long-Term Care Medicaid)

Choices for Care is Vermont's Long-Term Care Medicaid Program.

What help is available?

If you are found eligible, Choices for Care will help you pay for long-term care services in the setting of your choice.

This can be in:

  • Your home or the home of another person;
  • An approved residential care home or assisted-living facility; or
  • An approved nursing home.

Who is eligible?

To be eligible, you must:

  • Be a Vermont resident;
  • Be at least 65 years old OR at least 18 years old with a physical disability;
  • Meet the financial criteria; and
  • Meet the clinical criteria for nursing home level of care. Click here for more information.

How do I apply?

  1. Complete the 202LTC application form:
    1. Click here to print a copy; or
    2. Call 1-800-479-6151 and ask that a 202LTC be mailed to you.
  2. Mail your completed application to the address listed on the form:
    • DCF - Economic Services Division
      Application and Document Processing Center
      280 State Drive
      Waterbury, VT  05671-1500
  3. DCF;s Economic Services Division will determine your financial eligibility:
    • A worker will contact you to set up a phone interview to discuss your application and any documents you may have to provide.
  4. The Department of Disabilities, Aging & Independent Living (DAIL) will determine your clinical eligibility:
    • A long-term care coordinator will contact you to set up a face-to-face meeting to assess your abilities and the level of care you need.
  5. If you are found eligible for the program, your eligibility will be reviewed at least once a year.

Can I get help applying?

Yes. Help is available! To get help with an application, contact one of the following: 

Where can I get more information?

  • If you have questions about your financial eligibility:
    • Call ESD's Benefits Service Center at 1-800-479-6151. Stay on the line. Wait to hear what number to push to speak to an agent. The agent will transfer you to a long-term care worker who can help.
  • If you have questions about your clinical eligibility:
  • If you want more detailed information about Choices for Care:

What services are available in each setting?

Residential Care Homes/Assisted-Living Facilities
  • Case management
  • Nursing overview & assessment
  • Personal care services
  • Medication management
  • Recreational activities
  • 24/7 onsite supervision
  • Laundry services
  • Housekeeping services
Nursing Homes
  • Room and board
  • Skilled nursing & assessment
  • Personal care
  • Medication management & Pharmacy services
  • Social worker
  • Recreational activities
  • 24/7 onsite nursing care & supervision
  • Laundry and housekeeping services
  • Transportation services
  • Physical, occupational, & speech therapy
  • Nutrition and dietary services

How do I apply for other health care programs?

To learn about and apply for other health care programs, follow the links below: