STATE PROFILE • Last updated: November 11, 2026
Vermont Elder Care & Medicaid
Vermont's senior Medicaid landscape, administered by the Department of Vermont Health Access, offers the Choices for Care waiver to support home and community-based services for those meeting nursing home level of care.
leaderboard
RANKED #48
GRADE F
FEATURED
Medicaid Coverage Guide for Vermont
Full breakdown of Choices for Care for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
Choices for Care
Income cap
$2,982/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
F
Grade
AFFORDABILITY
GRADE F · 29
QUALITY
GRADE D · 36
STAFFING
GRADE C · 33
ACCESS
GRADE D · 24
MEDICAID SUPPORT
GRADE C · 25
CMS rates this state's 2023 home-care spending data as unreliable, so that input is scored at the national average.
Composite score: 19.6 / 100 (50 = average state)
Methodology arrow_forward
Vermont At a Glance
Nursing Home Facilities
34
Senior Medicaid Waivers
1
National Rank
#48 / 51
Range #46–#49 when the pillar weights shift
Senior Care Costs in Vermont
local_hospital
Nursing Home
$14,099/mo
+27.7% vs national avg
- 34 nursing homes · 2,995 beds
- Avg CMS rating 2.85★ (5 rated 5★, 6 rated 1★)
- 4.31 nurse hrs/resident/day (0.81 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$30/hr
+11.1% vs national avg
- Median aide wage $16.47/hr
- ~7,180 aides employed statewide
Source: BLS OEWS
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