Medicaid Waiver Guide – Vermont

Understanding Vermont Medicaid

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.

Types of Programs

Disabled Children’s Home Care – Katie Beckett Program

• 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.

Global Commitment to Health

• 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.

Other online resources for Vermont:

• Vermont Autism Task Force is a grassroots organization dedicated to improving available supports and services.
• Vermont Family Network provides free support on areas like education, health, and well-being for your child.

Telephone Resources

• Health Access Eligibility Unit at 1-800-250-8427 is a great resource for when you are starting to get on medicaid
• Disability Determination Services: (802) 241-2463
• Developmental Disabilities Services Division Director: (802) 241-0304

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.