Vermont currently has only one Medicaid program for children, which is a TEFRA program that waives parental income. Vermont replaced its Medicaid program with an 1115 demonstration program, and once children gain eligibility to Medicaid through the Katie Beckett TEFRA program or standard criteria, they may access other home and community based services through the 1115 demonstration program.

Advocacy Organizations in Vermont:

Last updated 11/1/23

Programs in Vermont

  • Target Population: Children who would otherwise require care in an institution with any type of disability, including medical, developmental, intellectual, or psychiatric conditions.
  • Ages: 0-18
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: Yes, the program is based on the child’s income only. Parent income is not counted.
  • Waiver Type: TEFRA
  • Spots: unlimited
  • Expiration Date: NA
  • Description: Provides Medicaid coverage only.
  • Online State Information: Disabled Children’s Home Care Flyer
  • How to Apply: Call the Health Access Eligibility Unit toll free at 1-800-250-8427 or apply for Medicaid based on this information. Once accepted to the Katie Beckett program, services are available through Medicaid. Available services can be viewed here.
  • Waiting List: none
  • Target Population: All adults and children based on income; provides additional services for children with special needs. Special moderate income groups, including those who need palliative care, are also eligible. Can be accessed by any child with a disability through the Disabled Children’s Home Care Program.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: Yes, the waiver is based on the child’s income only via access through the Disabled Children’s Home Care (Katie Beckett) Medicaid program.
  • Waiver Type: 1115
  • Spots: unlimited
  • Expiration Date: 12/31/2027
  • Description: Replacement program for Vermont’s Medicaid program. Includes home and community based services as possible benefits. The Global Commitment to Health section 1115(a) demonstration is designed to use a multi-disciplinary approach including the basic principles of public health, the fundamentals of effective administration of a Medicaid managed care delivery system, public-private partnership, and program flexibility. In addition, children can access additional services through the High Technology Home Care program and the Children’s Personal Care Services program. A Pediatric Palliative Care program is also available.
  • Online State Information: For information specifically related to children’s medical needs, see Children with Special Health Needs
  • Official Federal Information
  • How to Apply: Call the Health Access Eligibility Unit toll free at 1-800-250-8427 or apply for Medicaid based on this information. The process thereafter will depend on the needs of the child.
  • Waiting List: none

Additional Information

  • Parents/guardians of minor children who receive Personal Care Services (CPCS) through Medicaid were able to be paid during the pandemic, and this program will continue with minor changes. See this document for more information.
  • Parents/guardians of minor children who are Nurses can be paid to provide High Tech Nursing through Medicaid if their child has a medical need for home nursing. Parents may be paid for up to 12 hours per day or 40 hours per week. See this information for additional guidelines.