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 wish to stay in their homes and community. Each plan has its own network of providers, including services such as home care agencies, adult day care and other professionals. MLTC providers are approved by the New York State Department of Health.
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.
Enrollment is mandatory if:
Enrollment is voluntary if:
You must join a Plan if you received a letter from New York Medicaid Choice telling you to join a Plan by a certain date. As an enrolled member, you will have a Care Manager to help find the right Plan that caters to your needs and possibly approves any current services. There are three different types of Plans:
MLTC Medicaid Plan
Medicaid Advantage Plus
Program for All-Inclusive Care for the Elderly (PACE)
Here are some of the services provided by a MLTC Medicaid Plan:
With a Medicaid Advantage Plus Plan, one granted the services above, along with other Medicare services, such as:
The Programs of All-Inclusive Care for the Elderly (PACE) provides comprehensive medical and social services to certain frail, community-dwelling elderly individuals, most of whom are dually eligible for Medicare and Medicaid benefits. Financing for the program is capped, which allows providers to deliver all services participants need rather than limit them to those reimbursable under Medicare and Medicaid fee-for-service plans. Individuals can join PACE if they:
LIAF currently has MLTC contracts with Aetna and Agewell (see contact information below). If you have a different MLTC plan, please call your provider to apply for a single-case agreement to cover your loved one’s program expenses.