Managed Long Term Care (MLTC) is a system that streamlines the delivery of long term services to people who are chronically ill or disabled and who wish to stay in their homes and communities. These services, such as home care, social day care or adult day care, are provided through managed long term care plans that are approved by the New York State Department of Health. The entire array of services to which an enrolled member is entitled can be received through the MLTC plan the member has chosen.

As New York transforms its long term care system to one that ensures care management for all, enrollment in a MLTC plan may be mandatory or voluntary, depending on individual circumstances.

MLTC Eligibility:

  • At least 21 years of age
  • Enrolled in Medicaid
  • Able to stay safely at home
  • In need of at least one of the following services for more than 120 days from the enrollment date:
    • In-home Nursing Services
    • In-home Therapy
    • Adult Day Care
    • Consumer Directed Personal Assistance Services (CDPAS)
    • In-home Personal Care Services
    • Private Duty Nursing

MLTC Services and Support can include:

  • Extended Care Services such as:
    • Dental Care
    • Eye Exams & Glasses
    • Hearing Exams & Hearing Aids
    • Rehabilitation Therapy
    • Foot Care
    • Nutritional Counseling
  • Coordinated Services & Supplies:
    • Prosthetics & Orthotics
    • Medical Equipment
    • Home Safety Improvement
    • Transportation to Health Appointments
    • Chore Service & Housekeeping
    • Delivered Meals
    • Care Coordination
  • Personally Dedicated Health Professionals:
    • Nursing
    • Personal Care and Social Workers
    • 24-7 On-call Services & Emergency Response Systems
    • Consumer Directed Personal Assistance Services (CDPAS)

Source: NYS Department of Health

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