Pediatric High-Tech Nursing | Vermont Department of Health CLOSE Translations for you Pediatric High-Tech Nursing Children With Special Health Needs Care Consultation and Health Systems Developmental Evaluation Programs Children's Personal Care Services Pediatric High-Tech Nursing Palliative Care Nutrition Services In-home nursing support for medically fragile children. Whenever possible, children with complex medical needs and their families are given the choice to live in their own homes and communities, not hospitals. Pediatric High-Tech Nursing enables medically fragile children with complex needs to be cared for safely at home and in their community by providing in-home nursing. The Department of Disabilities, Aging and Independent Living manages the Adult High-Tech Nursing Program for people over the age of 21. What is 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. 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 requiring continual assessment and intervention by a nurse How does a family access Pediatric High-Tech Nursing? 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. Resources 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 Children with Special Health Needs Vermont Department of Health 280 State Drive Waterbury, VT 05671-8360 Tel 800-660-4427 or 802-863-7338 Fax: 802-863-6344 April 22, 2025