This is a collection of stand-alone policies and guidelines documents that contribute to the Quality Management of Waiver services.

This list is categorized by the Department/Agency, Division, or Program of Service that the policy and guideline is associated with.

Department of Aging and Independent Living / Agency of Human Services

• Background Check Policy
  Performing background checks on individuals who work with vulnerable people is a component of preventing abuse, neglect and exploitation. This policy describes when a background check is required, what the components of a background check are and what is done if a background check reveals a potential problem.

Department of Disability and Aging Services

• Case Management Reference Manual and Study Guide (June 2007) (Updated October 2008)
  This study guide should help you prepare for the Case Management Certification Exam. It is not intended to be a training guide to become a Case Manager. It should be used in addition to the core training and orientation you have completed through your agency.

• Administrative Rules on Agency Designation (Effective June 1, 2003)
  These administrative rules governing the selection of designated agencies outline the requirements an agency must meet in order to be designated (or re-designated), the responsibilities of agencies that are designated, and the process for designation, re-designation and de-designation.

Quality Management Unit

• Quality Management Plan is currently being revised.  The new plan will be posted as soon as it is available.
  The Quality Management Plan guides the activities of the Division of Disability and Aging Services Quality Management Unit staff and establishes the standards for assessing the quality of services throughout Vermont.

Adult Day

• Standards for Adult Day Services in Vermont (January 2004) (Updated March 11, 2004)

Attendant Services Program

• Attendant Services Program Regulations
  Regulations for Policy to foster the development of services to assist older persons and persons with disabilities to live independently.

Choices for Care (1115 Long-Term Care Medicaid Waiver)

• Choices for Care-ARIS Employer Handbook (June 2006)

• Choices for Care 1115 Highest & High Needs Manual
  The operational protocol manual describing the eligibility criteria, services and program procedures to assist individuals, case managers and service providers in planning and managing services for the highest and high needs individuals.

• Choices for Care 1115 Moderate Needs Manual
  The operational protocol manual describing the eligibility criteria, services and program procedures to assist individuals, case managers and service providers in planning and managing services for moderate needs individuals.

• Flexible Choices Section IV.12-Flexible Choices Pilot (September 2006)
  Letter from Medicare and Medicaid Services outlining special terms and conditions for the award of the Long Term Care Plan section 1115 demonstration. Regulations for Designation/Operation Of Home Health Agencies (draft)

• 1115 Long-Term Care Waiver Special Terms and Conditions
  Letter from Medicare and Medicaid Services outlining special terms and conditions for the award of the Long Term Care Plan section 1115 demonstration.

Developmental Services

• Behavior Support Guidelines for Support Workers Paid with Developmental Services Funds (October 2004)
  These Guidelines outline the types of interventions that support workers paid with developmental disability services funds may use to support behavior change and also the steps to follow when restriction of rights or restraints are required.

• Developmental Disabilities Act

• The Vermont Statutes Online, Title 18: Health, Chapter 204A: Developmental Disabilities Act

• A Guide for People who are Self- or Family-Managing Medicaid-Funding Developmental Services (March 2004)
  This document is designed to help people who wish to self- or family-manage their services understand what tasks are required and who is responsible for seeing that those tasks are accomplished.

• Guidelines for Critical Incident Reporting (December 2002)
  Detailed guidelines for critical incident reporting, including critical incident report form and restraint form.

• Health and Wellness Standards and Guidelines (March 2004)
  These guidelines were created because the Division of Disability and Aging Services is responsible for insuring the health and safety of people who receive Medicaid-funded developmental disability services.

• Individual Support Agreement Guidelines (Revised: March 2003)
  An Individual Support Agreement is a contract between you, your guardian (if you have one), and your provider(s). If you are managing all or some of your supports, you are still required to have an Individual Support Agree (ISA). This agreement addresses your needs that you, your Designated Agency and others have prioritized through an individualized planning process.

• Policy on Education and Support of Sexuality (January 2004)
  This document provides a clear statement about the rights of individuals receiving developmental disability services to learn about the risks and responsibilities of expressing their sexuality.

• Qualified Developmental Disabilities Professionals: Definitions, Qualifications & Roles (March 2004)
  This document explains the Vermont Division of Disability and Aging Services' definition, qualifications & roles of qualified developmental disabilities professionals.

• Endorsement of Individuals Acting Independently as Qualified Developmental Disability Professionals
  This document explains the Vermont Division of Disability and Aging Services' endorsement process for individuals who are interested in becoming endorsed individuals acting independently as a qualified developmental disabilities professional.

• Regulations Implementing the Developmental Disabilities Act of 1996 (July 2007)
  A copy of the actual regulations implementing the Developmental Disabilities Act of 1996. They include definition of developmental disability, criteria for being a "recipient"; certification; application, assessment and notification; periodic review; recipients who are able to pay; special care procedures; complaint procedures and training.

• Medicaid Manual for Developmental Disability Services (July 1995)

• Medicaid Manual for Developmental Disability Services (Update January 1999)

• Housing Safety and Accessibility Review Process (March 2006)

• Housing Accessibility Review Process - Attachment A (Revised March 2006)

 Older Americans Act

• Agency Case Management Standards (December 2001)
  Standards written to provide guidance for case managers and to describe acceptable case management performance. These standards apply to case management services provided to adults 60 years of age and older and to younger adults with disabilities through the Home and Community Based Medicaid Waiver, Enhanced Residential Care Waiver and Older Americans Act.

• Agency Case Management Certification Procedures (October 2002)
  In order to ensure the statewide quality of case management services offered to these individuals, DAIL in partnership with Vermont’s Area Agencies on Aging and Home Health Agencies, has instituted a Case Management Certification Program. This certification program applies to individuals providing case management as a service of the Department’s Medicaid Waiver programs and for individuals providing case management as part of the services authorized under the Older Americans Act through the State Unit on Aging and the Area Agencies on Aging.

Traumatic Brain Injury

• TBI Application Package Guidelines and Forms (TBI Program Procedures Manual)
  This package contains the necessary applications forms, eligibility requirement guidelines, selection process information, and more.

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