In-home nursing support for medically fragile children

Children and their families should have the choice to live in their own homes and communities, not hospitals. Some children live with medical conditions that require in-home nursing to achieve this goal. Pediatric High-Tech Nursing has supports to help. 

Pediatric High-Tech Nursing is part of Children with Special Health Needs, and assists medically fragile children with complex needs to be cared for safely at home and in their community. The Department of Disabilities, Aging and Independent Living has an Adult High-Tech Nursing Program for people over the age of 21.

What is Pediatric High Tech Nursing?
  • A nurse to provide direct care
  • A nurse case manager to help make, and put into place, a family-centered care plan
  • Authorization of durable medical equipment and supplies
Who is eligible for Pediatric High-Tech Nursing?

To be eligible, a child must:

  • Be younger than 21
  • Have active Vermont Medicaid
  • Be living with complex medical needs that require continual assessment and intervention by a nurse
How does a family access Pediatric High-Tech Nursing?

Anyone in the child’s circle of support might suggest Pediatric High-Tech Nursing, but health care providers (like doctors or nurse practitioners) make the referral.

Medical providers can make referrals at any time. Ideally, though, providers make referrals well before children are discharged from the hospital or rehabilitation facility. That way, supports are available as the child transitions home.

Pediatric High-Tech Nursing is provided by Medicaid-contracted home health agencies and Visiting Nurse Associations around the state. 

Families work with the home health agencies and Visiting Nurse Associations to set the schedule and make sure that the staff is the best match to meet their child’s needs.

For Health Care Providers
Contact us

Children with Special Health Needs
Vermont Department of Health
108 Cherry Street, PO Box 70
Burlington, VT 05402

Tel: 800-660-4427 or 802-863-7338
Fax: 802-863-7635