HCBS-COI Reports & Background Information

We are committed to regularly sharing HCBS-COI progress throughout this project. We will use this page to share project reports and background information.

For historical documents related to HCBS-COI, please visit this website.

Project Materials

Click on a title below to access project materials. More information will be added as the project continues so check back often!

  • The Department of Disability, Aging and Independent Living (DAIL) has developed two charts representing the current timelines for changes to case management for the Choices for Care, Brain Injury, and Developmental Services Programs. The timelines are based on the State decisions made through the options and recommendations process, aligned with the requirements of Vermont Medicaid’s HCBS-COI Corrective Action Plan as negotiated with CMS.

    • Developmental Services/Brain Injury program Milestones Document can be found here.
    • Choices for Care Milestones Document can be found here.

    *Please note that project timelines are subject to change; this document will be updated as needed.

  • The State of Vermont is working to redesign parts of the Home and Community-Based Services (HCBS) system to avoid conflict of interest issues and follow federal rules. The State also wants to make the system work better for people who receive services.

    The State has developed different structural options for the delivery of case management for each of the five Medicaid programs that include HCBS.

    Stakeholders were invited to provide feedback on these Options in August and September. Feedback was provided through in-person and virtual public forums, online surveys, mail-in surveys, letters, and website comments. Over 1,000 responses* were received. The responses have been summarized here.

    For more information about the HCBS-COI Options, please visit this page.

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