Pediatric High-Tech Nursing

High-Technology Nursing Services provide in-home nursing to children with a medically complex condition that requires specialized skills or high technology medical equipment. 

To be eligible, a child must:

• Be younger than 21
• Have active Vermont Medicaid
• Be living with complex medical needs requiring continual assessment and intervention by a nurse

• Health care provider makes a referral.
  • Anyone can suggest Pediatric high-tech nursing, but the medical provider must be the one to refer.
  • Referrals can happen at any time. However, ideally, they happen well before children are discharged from the hospital or rehabilitation facility so supports are available as the child transitions home.
• Pediatric High-Tech Nursing is provided by a Medicaid-contracted home health agency or by a nurse who is directly enrolled with Vermont Medicaid in a family-managed model.
• Families and caregivers work with the home health agencies to set the schedule and make sure that the staff is the best match to meet their child’s needs.

• Pediatric High-Tech Nursing Referral Form Referral form for medical provider to initiate access of pediatric high-tech nursing
• Vermont Medicaid enrollment and billing guide is for nurses who are independently enrolled with Vermont Medicaid and providing services to Medicaid beneficiaries authorized services under the High-Tech Nursing Program
• Family-Managed High-Tech Nursing Manual Describes the requirements and process for individuals to receive services from a nurse who is directly enrolled with Vermont Medicaid
• High-Technology Nursing Services Provider Manual This manual describes processes and guidelines to be followed by individuals and agencies providing High-Technology Nursing Services (HTN)
• Medically Complex Nursing Services Rule Information on eligibility, covered and not covered services
• Parent and Guardians as Providers of Nursing Services Vermont Medicaid Policy Includes information on coverage, oversight, and limitations