Long Term Home Care

VNH caregivers deliver support services to people with chronic medical problems who need extended care to remain in their homes.  This Medicaid-funded program, administered in Vermont through Choices for Care and in New Hampshire through Choices for Independence, allows people to remain in the community, maintaining as much independence as possible while coping with the effects of conditions such as stroke, congestive heart failure, emphysema, diabetes, vascular disease and muscle disorders.


Eligible patients may receive some or all of these services:

  • Case management to assist with planning, coordination and monitoring of all required medical and social services.
  • Personal care, to provide help with activities such as eating, walking, personal hygiene, cooking and shopping.
  • Homemaking, to help maintain a safe, clean and healthy environment in the home.
  • In Vermont, assistive devices, home modifications and respite for caregivers may be available.

Learn more about Choices for Care and Choices for Independence.


“Choices for Care is about each patient’s health, but health is about more than medical care. We help people apply for supplemental nutritional assistance, we make mental health referrals. We want to give people every chance to make things work at home.”

                               —Michelle Grist-Weiner, Long Term Care Case Manager


Personal Care Services

VNH Personal Care Attendants and Homemakers help our long-term care clients through the day, providing assistance with the basic activities of daily living to help people stay at home.


Personal Care Attendants (PCA)

PCAs help clients with important aspects of their personal care, from dressing in the morning to bathing, exercise and more, along with homemaking duties in some cases.



These key VNH staff members help clients stay at home by helping with cooking, shopping and general house cleaning.


“The gratitude you receive is incredible. It’s satisfying to know I’m doing what someone needs in order to maintain their independence and stay where they want to be. At the end of the day, I go home proud.”

                             —Alicia Stockwell, PCA