Home Care Services
With the goal of promoting an optimal level of independence in
the home, services are available to patients who are referred by
a physician for short-term medical or physical needs. Care is coordinated by a nursing case manager and may include the
following services.
- Nursing
- Therapy
- Medical Social Work
- Long-term Care
- Maternal & Child Health
- Eligibility
Under physicians' directions, our nursing staff visits patients in their homes to assess physical condition and provide appropriate treatments and teaching. Services provided may include cardiopulmonary assessment, medication teaching, wound care, and intravenous therapy. |
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The VNAH provides a variety of therapy services, including:
Physical Therapy
Therapists implement and monitor exercise programs to promote rehabilitation following stroke, joint replacement surgery, injury or serious illness.
Occupational Therapy
Therapists assess home safety and accessibility, recommending adaptive equipment and home modifications to maximize independence.
Speech Therapy
Speech therapists provide help and instruction for speech and swallowing difficulties.
| Counseling and coordination of community services are provided to families and individuals to help them cope with problems associated with illness or the care of an ill person. | ![]() |
A program of Vermont and New Hampshire Medicaid, this service
cares for people who have chronic medical problems and need extended care in their homes to avoid admission to a nursing home. Some common qualifying conditions include 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.
- Vermont Traumatic Brain Injury Program assists individuals 16 years or older with moderate to severe brain injury to achieve optimal functioning in order to resume life and work in the community. Services include case management, life skills aides and other service coordination.
Healthcare-related services are provided to eligible pregnant women, new mothers, infants and children in their homes.
Primary services focus on wellness. Nurses who are experienced in pediatrics and family healthcare work with program aides to:
- educate and support parents regarding growth, development, feeding, immunizations, etc.
- identify a primary care physician
- utilize all appropriate community resources, including Healthy Kids (in NH) and Healthy Babies, Kids & Families (in VT).
Secondary services address the special needs of children who have an acute or chronic illness or injury. Families are taught how to monitor and manage their child's condition.
Eligibility and Referrals
Anyone who lives in our service area and qualifies for the state health program may be eligible. See our Service Area Map and call your local regional office for more information or to determine eligibility.
There is no charge to the client for maternal and child health programs.
The VNA & Hospice of VT and NH serves all who qualify, regardless of age or ability to pay. Services are paid through Medicare, NH/VT Medicaid and private insurance companies. Agency staff will evaluate eligibility via phone or home visit.
Clients must have a physician's referral and be classified as homebound or needing skilled care.

