Who Is Eligible?
I) Vermont residents age 65 or older, or those age 18 and older
who have a physical disability, and
2) Need the level of care usually given in a nursing home, and
3) Meet the income and resource criteria for Vermont Long Term
Care Medicaid.
What Will It Cost?
The cost of ERC services is paid by Long Term Care Medicaid, although
you may be required to pay a patient share of the cost depending
on your income and resources. Room and Board Expenses are privately
arranged between you and the provider. These costs are your responsibility
and you pay the provider directly.
Under certain circumstances, the cost of services
may be recovered from your estate by the Department of Social
Welfare Recovery Unit.
Services Include:
1) Nursing Overview: Assessment, health monitoring,
and routine nursing care is provided or supervised by a Licensed
Registered Nurse.
2) Personal Care Services: Assistance with eating,
walking, bathing, dressing, transferring, personal hygiene,
grooming and toileting.
3) Case Management: You will be assigned a case
manager to assist you with applications for ERC, and other services,
and to coordinate and monitor your services on a regular basis.
4) Medication Assistance: The ERC home will provide
you with any needed assistance with your medications.
5) Recreational & Social Activities: Personalized
daily activities and socialization opportunities in the home
and community.
6) Support for Individuals with Cognitive Impairments:
Care and supervision needed for elders with Alzheimer's Disease
or other dementia-related illnesses is provided.
7) 24-Hour On-Site Supervision: Staff are on duty
seven days a week, 24 hours a day to meet your needs and to
provide safety and security.
8) Laundry Services: Laundry services are provided
as well as the opportunity to launder your own clothing, if
desired.
9) Household Services: Bed making and household
cleaning is provided by ERG staff.
How Do I Apply?
Contact your local Area Agency on Aging, Visiting Nurse Alliance,
or Enhanced Residential Care provider for an application and assistance
with completing it.
Completed applications are sent to the Designated
Administrative Agency and held until an opening is available at
your preferred ERG provider's facility.
When an opening becomes available, the following
steps complete the application process:
1) An application for Long Term Care Medicaid must be submitted to your local Department of Social Welfare office. Note: in certain circumstances the cost of care may be recovered from your estate by the Recovery Unit of the Department of Children and Families (DCF). Please contact your local DCF office for details. (Springfield area DCF office: 802-885-8856 or 800-589-5775; Brattleboro area DCF office: 802-257-2820, or 800-775-0515).
2) A local Case Manager will visit you to assess
your health care needs. Specific services will be discussed
and you will be asked to choose a Case Management agency. Your
assessed needs will be the basis for the Plan of Care that you
and the care manager develop.
3) Your Plan of Care and assessment are submitted
to the State for review to determine eligibility. If you are
found to be in need of nursing home level of care and are eligible
for Long Term Care Medicaid, you will receive written notice
from the Department of Aging & Disabilities.
The amount of your patient share expense, if any,
will be included on your eligibility notice.
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