Medicaid Managed Long Term Care in New York

Medicaid Managed Long Term Care (MLTC) is a program designed to delivery long term services for those who are chronically ill or disabled, but want to stay in their homes.

MLTC plans have a comprehensive range of covered services for those who will require care for at least 120 days (from date of enrollment). Venture Forthe provides long-term home health care services based on eligibility through your long-term care plan.

At Venture Forthe, MLTC may cover long-term home health care for seniors or those with a chronic illness or disability, and Health Home services.

Who is Eligible for MLTC?

Enrollment in an MLTC plan requires:

A chronic illness or disability that qualifies you for nursing home care*
At least 120 days of care requirements
At least 65 years old (PACE organization only – 55+ years)
- Be 18-21 years old and dual-eligible for Medicaid and Medicare

Enrollment in Medicaid (some plans accept Medicare)
The ability to safely stay at home at time of enrollment

Nursing home level of care is typically defined as requiring assistance with 3 Activities of Daily Living (ADLs) or cueing for 2 ADLs if they have dementia or Alzheimer’s Disease. ADLs include:

Bathing
Grooming/Personal hygiene
Dressing
Toileting

Eating (not including cooking)
Transferring (functional mobility – walking, getting in and out of bed or a chair, etc.)

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Managed Long Term Care

Who is Eligible for MLTC?