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Attendant Service Program Information and Option

What is the Attendant Services Program?

The Attendant Services Program (ASP) supports independent living for adult Vermonters with disabilities who need physical assistance with daily activities.

  • The participant in the program (or a designee under Personal Services option) hires, trains, supervises and schedules his or her personal care attendant.
  • The participant or designee is the employer. There is no cost to the participant. The program pays an hourly wage to the attendant.
  • Any legal worker may be employed as a PA, except a spouse or civil union partner under the Medicaid funded portion of the program.
  • A person who has a substantiated history of abuse, neglect, or exploitation will not be paid by this program

What activities are covered?

Attendants may only be paid to provide assistance provided to meet the following needs:

  • Activities of Daily Living (ADLs) include dressing, bathing, grooming, toileting, transferring, mobility, range of motion exercises, positioning and eating.
  • Instrumental Activities of Daily Living include meal preparation, medication management, care of adaptive & health equipment, management of finances and mail, and shopping and cleaning.

Who is Eligible?

To be eligible an individual must

  • Be a Vermont resident
  • Be at least 18 years old, and
  • Meet all of the eligibility criteria for one of these programs

1) General Fund Personal Services

  • Have a disability
  • Need physical assistance with at least one activity of daily living or meal preparation, and
  • Be eligible to receive Medicaid

2) General Fund PCAC – Participant Directed Attendant Care

  • Have a permanent and severe disability
  • Need physical assistance with at least two activities of daily living, and
  • Be able to direct own personal care services

Medicaid PCAC – Participant Directed Attendant Care

  • Have a permanent and severe disability
  • Need physical assistance with at least two activities of daily living
  • Be able to direct own personal care services
  • Be able and willing to hire an attendant other than a spouse or civil union partner, and
  • Be eligible to receive Medicaid

How Does the Program Work?

  • After an application is received, program staff contact the applicant to screen for eligibility. (Note: Applicants who are not eligible for Medicaid PDAC may be placed on a chronological waiting list until program funds are available).
  • A program assessor completes an in-depth assessment of the applicant’s needs in his or her home.
  • An Eligibility Committee (consisting of program participants) reviews the assessment and determines if the applicant is eligible for the program, and authorizes a specific number of hours of service per day based on the information received in the Independent Living Assessment (ILA). (Note: The Attendant Services Program may not cover all needs and activities).
  • The participant signs an annual agreement and enrolls one or more attendants. The participant must comply with State and Federal employment laws.
  • The participant and the attendant complete, sign and submit biweekly time reports to the designated payroll agent.
  • Payments are processed and checks are mailed to the attendant on an established payroll schedule.
  • Participant needs are reviewed at least annually.
  • Participants and applicants may appeal if they do not agree with the decisions concerning eligibility or time authorized for their care.