Page Reviewed / Updated – May 04, 2020

Waiver Description

The High Technology Home Care Program, also called the High-Tech Nursing (HTN) Program, is a Vermont Medicaid program that employs a combination of medically necessary technology, supplies, and services. This program is intended to help elderly or disabled Vermont residents whose disabilities or functional ability would otherwise require them to live in a nursing home. Beneficiaries are able to reside in their homes, in the homes of family members or friends, and in some cases, persons living in nursing homes are able to return to living outside these institutions.

Technologies that are typically used by program beneficiaries include, but are not limited to ventilators, feeding tubes, CPAP, and dialysis machines. However, assistance under this program is not limited to medical technology. Skilled nursing care is also available. While personal care assistance and homemaker services are not offered via this program, these services are available via the Choices for Care program, which operates under the Global Commitment (GC) to Health Waiver. Seniors can be dually enrolled in both the High Tech program and Choices for Care via the GC Medicaid Waiver. The “Hi-Tech Nursing Program” is under the jurisdiction of the Vermont Department of Disabilities, Aging and Independent Living (DAIL).

Eligibility Guidelines

In addition to being financially eligible for Green Mountain Care (Vermont’s Medicaid program) applicants must 1) be Vermont state residents 2) 21 years of age or older 3) require skilled nursing care greater than that which is provided via a skilled nursing visit 4) require services more extensive than those offered by a personal care attendant or a home health aide 5) have a primary caregiver that is able to handle the applicant’s care needs and can be trained in the operation of apparatus. 6) not be (or be willing to not be) institutionalized 7) be technology dependent.

Financial eligibility changes year to year and depends on whether one lives in Chittenden County or elsewhere in the state (limits are slightly higher in Chittenden). In 2020, the ballpark monthly income limit for the Hi-Tech Program is $1,175 / month. Elsewhere in Vermont, the limit is $1,091. Persons with income that exceeds this level may still qualify through a share of cost method where incomes up to approximately twice the regular limit would be permitted.

Green Mountain Care also considers the applicant’s countable assets. Single applicants are permitted up to $2,000 in countable assets, but their home, provided the value of their home equity does not exceed $595,000, is exempt (not counted towards the total). Other exemptions include household goods and furnishings, a vehicle, and personal items, such as clothing.

Medicaid eligibility can be complicated. Get assistance to understand these Medicaid eligibility rules and prepare a successful application.

Benefits and Services

The exact services afforded to Hi-Tech Program participants are determined by their individual needs.  These might include:

  • Skilled Nursing Care (up to 22 hours / day) 
  • Case Management
  • Caregiver Training
  • Medical Supplies / Equipment 

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How to Apply / Learn More

Vermont’s Division of Disability and Aging Services, Department of Disabilities, Aging & Independent Living is responsible for the administration of this program. They offer several ways to contact them to learn more and / or to begin the application process. One can call (802)-241-0294, visit their webpage for additional contact information, or complete an online form.

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