MLTC Medicaid Insurance Accepted
Our services are available to seniors through Medicaid Managed Long-Term Care (MLTC) services. MLTC provides essential support to individuals who are chronically ill or have disabilities, offering vital health and long-term care services such as home care or adult day care. Our aim is to help seniors remain in their homes and communities for as long as possible.
We serve residents from all five boroughs of New York City, with facilities conveniently located in Brooklyn and Westchester. If you have questions about your insurance coverage and eligibility for our services, please feel free to contact us. We’re here to assist you in enrolling your loved one in our adult day care program.
WE ACCEPT FOLLOWING LONG TERM CARE INSURANCES:
AETNA BETTER HEALTH OF NEW YORK (MLTC/MAP)
CENTERS PLAN FOR HEALTHY LIVING (CPHL - Medicaid Advantage Plus)
Riverside Spring Health Plans
FIDELIS CARE
VNSNY CHOICE
AGEWELL NEW YORK
VILLAGE CARE MAX (On EOP VILLAGE SENIOR SERVICES)
UNITED HEALTH CARE MLTC
SENIOR HEALTH PARTNERS MLTC
SENIOR WHOLE HEALTH MLTC
ARCHCARE MLTC
PRIVATE PAY
FAQ Medicaid MLTC
Who is eligible for MLTC in NY?
Dual eligible individuals (those with both Medicare and Medicaid), aged 21 and older, and assessed as requiring community-based long-term care services for more than 120 days must enroll in MLTC to access those services.
What is the look back period for Medicaid in NY?
The “look back” period will be 30 months (2.5 years) instead of 60 months, as it is for Institutional Medicaid. The earliest the state plans to implement this change is March 31, 2024.
Who qualifies for community Medicaid in NY?
This category encompasses individuals aged 65 and above, certified blind by the Commission for the Blind and Visually Handicapped, and certified disabled by Social Security or the NY State (officially titled “SSI-Related”). There are three levels of Medicaid for this category: Community Medicaid.
What is MLTC in NY?
Managed Long-Term Care (MLTC) assists individuals who are chronically ill or disabled and in need of health and long-term care services, such as home care or adult day care, to remain in their homes and communities for as long as possible.
What is multiple long-term conditions?
Introduction. Multiple Long Term Conditions (MLTC), often used interchangeably with the term multimorbidity, represent a rapidly growing healthcare challenge due to increased longevity and a rising prevalence of chronic health conditions.
What is the 5-year rule for Medicaid in NY?
If the individual or their spouse made any gifts within 5 years of the date of the Medicaid nursing home application, NY State imposes a penalty period based on the size of the uncompensated transfer, termed a penalty period.
What is the difference between MLTC and CDPAP?
MLTCs, also known as Community-Based Long-Term Care, are served by home care agencies contracted with Medicaid. If the client receives Medicaid services, the Long-Term Care Plan is a Medicaid MLTC Plan. Consumer Directed Personal Assistance Programs (CDPAP) are part of Medicaid MLTC Plans.
What is chronic care vs LTC?
A chronic illness rider provides a lump sum without restrictions on its use. A long-term care rider necessitates the client’s need to last 90 or more days and can be utilized multiple times over the years, offering a broader range of benefits payable by the rider.
What is NYS MLTC?
Managed Long-Term Care (MLTC) is a system designed to streamline the delivery of long-term services to individuals who are chronically ill or disabled and wish to remain in their homes and communities.
Does Medicaid MLTC cover adult day care in NY?
Yes, MLTC Program benefits encompass adult day care, in-home nursing services, home modifications, Personal Emergency Response Systems, medical equipment, and personal care assistance with Activities of Daily Living (such as moving, bathing, dressing, eating, toileting).