Provider Referral Information

Referral Services Contact Information

Fax: 603-298-0465      Phone: 800-575-5162
Referrals can be called in 24 hours a day/ 7 days a week
Office Hours: Monday – Friday, 8:00 a.m. - 4:30 p.m.
Saturday-Sunday-Holidays: Phone only – 800-575-5162

PLEASE CALL BEFORE SENDING FAX ON WEEKENDS & HOLIDAYS

Need our mailing address? Visit the VNA & Hospice Office Locations and Addresses page.

  • Scope of Services
  • Definition of "Homebound"
  • Service Area Map
  • Document Library

Scope of Services

The VNA & Hospice of VT and NH serves all who qualify, regardless of age or ability to pay. Services are paid through Medicare, NH/VT Medicaid and private insurance companies. Agency staff will evaluate eligibility via phone or home visit.

  • Skilled nursing
  • Wound care
  • Disease management
  • Physical therapy
  • Speech therapy
  • Personal care
  • Telemedicine
  • Infusion therapy (nursing care only)
  • Pain management
  • Occupational therapy
  • Medical social work
  • Hospice
  • Case management
  • In-home anticoagulation management

“Homebound”- What’s it all about?

Things to keep in mind when thinking about a patient who might be a Home Care referral candidate:

First and foremost, the Medicare Home Care criteria can be confusing at times. When in doubt call 800-575-5162 and let the VNA decide if the patient is eligible.

The VNA may talk with the patient on the phone or send a nurse out to do an assessment.

Homebound- more broadly interpreted than in the past. The following need to be considered:

  • Most patients who have just been discharged from the hospital most likely can be considered “home bound”. i.e. post-op patients usually can’t drive for a period of time.
  • Absences are infrequent and of short duration and must contribute to the patient’s state of well being: medical appointment, a special birthday party, going to the store when there is no-one else to pick up the food, hair appointment, church, a walk around the block.
  • Leaving home for any occasion must take a considerable and “taxing” effort,use of a supportive device is necessary i.e. walker, cane, w/c, O2 (this must be documented by the home care staff).
  • Patient requires the assistance of another person in order to leave the house. For example, a patient who is blind needs the guidance from another individual.
  • Person who has dementia and cannot be left alone for safety reasons.
  • Patient with significant cardiac disease who cannot go out because of the fatigue.
    Patient may attend a certified/licensed or accredited day care program.
  • Driving does not mean the patient is NOT homebound if the driving is done with “considerable and taxing effort”.
  • Visits can be made the same day as the patient goes to the MD as long as the visit and the MD appointment are happening for 2 different reasons (VNA is going in for wound care and the MD appointment is for a endocrine work up).