This measure is important because during the Public Health Emergency (PHE), LTC renewals (reviews) were suspended.   As part of the Medicaid Eligibility “unwind”, CMS has mandated that States resume renewals. 

If clients fail to submit their renewal form, federal rule requires that their LTC Medicaid coverage be closed.  DVHA is committed to assisting clients with the renewal process to ensure eligible Vermonters retain Medicaid coverage.  DVHA Leadership and the LTC Team are monitoring client renewals closely and making an extra effort to ensure that LTC Medicaid clients are successfully renewed.  If any client needs more time completing the renewal form prior to their coverage ending, the client is instructed to contact their worker and LTC may be able to grant an extension of time.  LTC will accept late renewals up to 90 days following closure date.   Renewal forms that are received more than 90 days following closure date will be treated as a new LTC application. 

The chart above depicts the percentage of clients whose coverage was approved and continued (out of all renewal applications initiated).  The break-out grid shows the number of renewals which were closed, still in process and approved.  
Last Updated:  06/04/24

• CMS
• DVHA Leadership
• DVHA Policy Unit
• LTC Medicaid providers
• DAIL LTC clinical coordinators
• Area Agencies on Aging
• Family members, authorized representatives, and other assisting parties

LTC has a dedicated team focused on assisting Vermonters in successfully submitting their renewal forms to ensure their Medicaid benefits continue.  The internal processes include additional customer-centric steps to ensure clients submit their renewal form.  Vermont Medicaid mails the renewal form six weeks before the due date.  On the 10th of the month, DVHA LTC calls clients who have not submitted their renewal form.  Starting in November 2023, DVHA LTC began offering to take information for a renewal application over the phone.   Under certain circumstances approved by CMS, DVHA LTC is also working with clients by extending coverage and allowing additional time to submit applications.