Choices for Care (long-term care)

Choices for Care is Vermont's Long-Term Care Medicaid Program. If you are eligible, it helps 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.

Am I 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.

The best way to find out if you are eligible is to apply! We will review your situation and let you know if you qualify.

How do I apply?

  1. Complete the Long-Term Care Application Form.
     
  2. Mail your completed application to the address listed on the form:

    DCF - Economic Services Division
    Application and Document Processing Center
    103 South Main Street
    Waterbury, VT  05671-1500.
     

  3. The Department for Children and Families' Economic Services Division (ESD) will determine your financial eligibility. A worker will contact you to set up a phone interview to discuss your application and any documents that may be required.
     
  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. You can get help:

What services are available in each setting? 

Home-Based

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

 Where can I get more information?

  • If you have questions about 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 clinical eligibility, call the DAIL long-term care coordinator in your area of the state.
     
  • If you want more detailed information about Choices for Care, read the Participants Handbook or go to DAIL's Choices for Care website.