The Vermont Choices for Care Long-Term Care Plan: Key Program Changes and Questions

This fact sheet summarizes Vermont’s Section 1115 waiver to make fundamental changes to its Medicaid program that provides long-term services and supports to eligible, low-income state residents. The waiver was designed to increase access to home and community-based services (HCBS), reduce use of institutional services and control overall costs for long-term services spending. The state hopes to achieve these goals by limiting access to nursing facility care and increasing the availability of HCBS. The program is subject to available funding under a global cap.

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