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Regulations for the Designation and Operation of Home Health Agencies, Section 4 - Designation (Vermont DAIL, Division of Licensing and Protection)

VermontregulationVermont Department of Disabilities, Aging and Independent Living (DAIL), Division of Licensing and Protection· effective 2019-10-01

What this rule requires your agency to do

  • 1The agency must obtain and maintain federal certification as a home health agency by the Centers for Medicare and Medicaid Services (CMS) before filing an application for designation. (§ 4.2)(§ 4.2)
  • 2The agency must file an application for designation with, and obtain approval from, the Department before commencing operations. (§ 4.3)(§ 4.3)
  • 3The agency must provide or arrange all designated services to eligible patients within its service area. (§ 8.2)(§ 8.2)
  • 4The agency must not discriminate against patients or staff based on protected characteristics. (§ 7.4)(§ 7.4)
  • 5The agency must post its proof of designation in a location readily visible to visitors on the premises where its business operations are conducted. (§ 4.12)(§ 4.12)
  • 6The agency must conduct background checks and prohibit employment of workers with substantiated records of abuse, neglect, or exploitation. (§ 7.6)(§ 7.6)
  • 7The agency must apply for and obtain a Certificate of Need (CON) from the Green Mountain Care Board before filing an application for designation with the Department. (§ 4.1)(§ 4.1)

Applies to: home health / home care agencies operating in Vermont

Vermont home health agencies must be "designated" by the Department of Disabilities, Aging and Independent Living. Designation requires a Certificate of Need from the Green Mountain Care Board, federal Medicare certification by CMS, and Department approval before operating. Designation lasts four years and carries ongoing operational, non-discrimination, background-check, and fiscal obligations.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.