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The Vermont Adult Day Services program is for seniors over the age of 60, as well as for those 18 years of age and older with a cognitive or physical disability. Adult Day Services is often referred to as Adult Day Care or Adult Day Health or in Medicaid-speak, Day Health Rehabilitation Services. This program is intended to help individuals continue to live in the community at large, rather than require institutionalization, such as nursing home care. This is done by providing daytime supervision and assistance with activities of daily living, recreational and therapeutic activities, and meals in an approved, nonresidential, adult day care centers. The Adult Day Services program also offers respite to relieve primary caregivers of their caregiving duties.
While the adult day care facilities are private entities, they are certified by the Vermont Department of Disabilities, Aging & Independent Living, which is part of the Vermont Division of Disability and Aging Services.
To be eligible for the Vermont Adult Day Services program, individuals must be residents of Vermont who are at least 60 years old, or are 18 years of age and disabled. Disabilities can include chronic conditions such as COPD, diabetes, Alzheimer’s and other dementias. It’s important to note that all the Adult Day Service providers are private entities, and each facility is responsible for establishing their own eligibility criteria, and further criteria may differ based on the provider, such as the amount of assistance an applicant requires.
To have Adult Day Services covered by Medicaid, one must be eligible for the Global Commitment to Health Waiver or the Community Medicaid. Community Medicaid requirements are largely financial in nature and vary depending on the applicant’s age and marital status. For aged individuals 65 or older, a two-person household can have up to $1,008 in monthly income except in Chittenden County which has a higher limit of $1,083 (current limits as of early 2017).
A countable asset limit also exists for persons 65 and older. They are allowed combined assets value of no greater than $2,000. However, many common assets are exempt for that figure including one’s home, car, home furnishings, personal items and burial plots or burial insurance. Past assets transfers are also considered to ensure an applicant has not given away assets for the sake of qualifying for Medicaid.
Persons unsure of their eligibility status may find greater clarification here.
Adult Day Services offers a wide variety of services, which may vary by location. These include nursing services, such as checking vital signs, medication management, activities to improve physical and cognitive functioning, activities to foster socialization, assistance with personal care, such as grooming and toiletry, snacks and meals, health education, and respite. Transportation to and from the adult day care center may also be provided.
For limited information about the Adult Day Services program, click here. Throughout the state of Vermont, there are currently (as of January 2017) 14 adult day care providers. To apply for Adult Day Services, contact the provider in your area.