Cost of Memory Care in Vermont

The cost of memory care in Vermont is notably higher than the national average. As of 2023, the average monthly cost is $9,639, compared to the U.S. average of $5,369. Prices vary significantly across the state, with Essex offering more affordable options at $8,600 per month and Shelburne on the higher end at $12,000 per month. Inflation has impacted these costs, with an average increase of 9.5% in 2023 alone. Future estimates suggest further increases, making it essential for families to plan ahead when considering memory care.

Vermont Medicaid Programs for Memory Care

Vermont offers several Medicaid programs designed to help seniors afford long-term care, including memory care.

• Green Mountain Care (Medicaid for the Aged, Blind & Disabled – MABD): Provides no- or low-cost coverage for older adults who meet specific income and resource limits. The annual income limit is $13,992 for most counties, and $15,192 for Chittenden County. Applicants must also meet the asset criteria: $2,000 for single individuals and $3,000 for couples.

• Choices for Care (CFC): Vermont’s primary long-term care program under its Global Commitment to Health 1115 waiver. This program provides support for those who need nursing home-level care but wish to receive services in assisted living or residential care facilities instead. CFC has the same eligibility criteria as MABD.

• Assistive Community Care Services (ACCS): Covers costs of long-term care services in select assisted living facilities and residential care homes. ACCS helps with personal care, medication assistance, and on-site therapy for eligible seniors.

Other Funding Options

If Medicaid programs are not sufficient to cover the cost of memory care, there are other options that families in Vermont may consider:

• Long-Term Care Insurance: This insurance can cover memory care costs depending on the policy. It’s best to apply early, as policies may not be available to those already needing long-term care.

• Reverse Mortgages: A viable option for homeowners who can take out a loan against the value of their property to fund short-term memory care expenses.

• Veterans Benefits: The Department of Veterans Affairs offers several programs for veterans and their spouses that can be used to cover healthcare needs, including memory care.

Regulations and Licensing

Memory care facilities in Vermont must comply with state regulations to ensure quality care for residents. The Division of Licensing and Protection (DLP) within the Vermont Department of Disabilities, Aging, and Independent Living oversees these regulations.

• Scope of Care: Facilities provide room, board, personal care services, and nursing services. Facilities must offer a daily program of activities for residents, and care plans must be reviewed annually or when a resident’s condition changes.

• Admissions Requirements: Facilities can admit older adults and those with dementia, physical disabilities, or behavioral symptoms. However, residents with serious, acute medical conditions requiring continuous care are not eligible.

• Staffing and Training Requirements: There are no specific staff-to-resident ratios, but facilities must have adequate personnel to provide appropriate care and emergency response. Staff must receive annual training covering residents’ rights, emergency procedures, and Alzheimer’s and dementia care.

Resources for Seniors in Vermont

Vermont offers a variety of resources for seniors and their caregivers:

• Area Agencies on Aging: Provide guidance on financial assistance, long-term care planning, and connect families to local resources. Services include meal delivery, social programs, and caregiver support.

• Legal Aid: The Vermont Legal Aid Senior Law Project offers free or low-cost legal assistance for low-income seniors on issues such as estate planning and elder rights.

• Home Repair and Modification Programs: Programs like the Vermont Home Access Program offer grants or loans for home modifications to improve accessibility for seniors.

• Food Assistance: Programs like Vermont Meals on Wheels and 3SquaresVT ensure that seniors have access to affordable and healthy food options.

• Utility and Energy Bill Assistance: The Green Mountain Power Energy Assistance Program offers income-eligible seniors a discount on their utility bills, while the Vermont Fuel Assistance Program helps with heating costs.