Long-Term Care Medicaid

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

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 could 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, at least 18 years old with a physical disability, or eligible for Medicaid under Medicaid for Children and Adults rules;
  • Meet the financial criteria; and
  • Meet the clinical criteria for nursing home level of care.

For more information from the Department of Disabilities, Aging and Independent Living (DAIL), visit http://asd.vermont.gov/services/choices-for-care-program 

How do I apply?

  1. Complete the 202LTC application form:
    1. to print a copy visit http://www.greenmountaincare.org/sites/gmc/files/202LTC%2002%2018-1.pdf ; or
    2. Call 1-800-479-6151 and ask that a 202LTC be mailed to you.
  2. Mail your completed application to:
    Green Mountain Care
    Application and Document Processing Center
    280 State Drive
    Waterbury, VT  05671-1500

  3. Green Mountain Care 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 need to provide.
  4. The Department of Disabilities, Aging & Independent Living (DAIL) will determine your clinical eligibility:
    A Long-Term Care Clinical Coordinator will contact you to set up a face-to-face meeting to assess your abilities and the level of care you need.

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?

What services are available in each setting?


  • Case management
  • Personal care services
  • Adult day centers
  • Respite for unpaid caregivers
  • Companionship
  • Emergency response
  • Assistive devices
  • Home modifications

Adult Family Care Home:

  • Case management
  • 24-hour care
  • Personal care services
  • Adult day centers
  • Companionship
  • Respite for unpaid caregivers

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?

You can learn about and apply for two other health care programs through DCF:

  1. Medicaid for the Aged, Blind or Disabled (MABD Medicaid); and
  2. Prescription Assistance.

For all other health care plans in Vermont contact Vermont Health Connect at 1-855-899-9600 or go to http://vermonthealthconnect.gov/.

Contact Information

Green Mountain Care
Health Access Member Services
Department of Vermont Health Access
280 State Dr.
Waterbury, VT 05671-1010
Phone: 1-800-250-8427
Relay services for the Deaf and hard of hearing: 711