1. Definitions of State living arrangement variations for Vermont

Use this table to view the code and definitions of State living arrangement variations:

Code Definition A Independent living (except Chittenden County) Apply OS code “A” to several situations including recipients who: • are not living in the household of another; • are not in a residential or custodial care situation; • are under age 18 and live with a parent; • reside in a private Title XIX facility where Medicaid is not paying more than 50 percent of the cost of care; • reside throughout a month in a publicly operated emergency shelter. B Independent living in Chittenden County Apply OS code “B” to all recipients living in situations described in “A” above except restricted to residents of Chittenden County. C Licensed residential care home or assisted living residence with assistive community care services (Level III) Apply OS code “C” to recipients residing in Level III facilities identified by the State. To determine if the facility meets the requirements for OS code “C,” refer to the Division of Licensing and Protection for Vermont State . E Living in the household of another Apply OS code “E” to recipients who live in the household of another and receive support and maintenance from them (subject to the Federal one-third reduction provisions). G Licensed residential care home or therapeutic community residence (Level IV) Apply OS code “G” to recipients residing in Level IV facilities identified by the State. Apply OS code “G” to recipients residing in Level IV facilities identified by the State. To determine if a facility meets the requirements for OS code “G,” refer to the Division of Licensing and Protection for Vermont State . H Custodial care: family hom e Apply OS code “H” to recipients who: • live in another's home, • pay room and board to that home owner, and • receive one or more of the services outlined under the custodial care definition. To qualify as a home under this arrangement, a resident of the home must provide the services to two persons or less. In some cases, the Vermont Department of Disabilities, Aging, and Independent Living (DAIL) has established outplacement programs meeting the definition of living arrangement (L/A) “H.” To qualify these programs must meet the above requirements. Custodial care means providing basic room and board, plus personal services such as: • help with feeding, • dressing, • bathing, • moving about under normal circumstances, or • occasional tray service (tray service two-three times a week), which may include supervision for the recipient's protection. Supervision for the recipient's protection deals primarily with protection services for retarded and emotionally disturbed recipients. A person who receives one or more of these personal services is receiving custodial care. I Apply OS code “I” effective July 1, 1987, when the State elected Federal administration of an optional State supplementary payment to residents in Title XIX facilities. This includes children under the age of 18 for whom Medicaid alone pays, or is expected to pay, over 50 percent of the cost of care for that month. Y Optional supplementation waived Use this OS code “Y” to indicate that a recipient is eligible for an optional supplement, but waived their right to receive supplementation.