ELIGIBILITY

Primary Needs for Eligibility: 

Eligible applicants:

 Must be enrolled in Medicaid

Must be enrolled in Managed Long-Term Care

 

What is Managed Long-Term Care (MLTC)? 

Managed Long-Term Care (MLTC) helps people who are chronically ill or have disabilities and who need health and long-term care services, such as home care or adult day care, stay in their homes and communities as long as possible. The MLTC plan arranges and pays for a large selection of health and social services, and provides choice and flexibility in obtaining needed services from one place.

 

Am I eligible for MLTC? 

 

You are eligible to enroll in Managed Long-Term Care if you:

  • have a chronic illness or disability that makes you eligible for services usually provided in a nursing home;

  • are able to stay safely at home at the time you join the plan;

  • are expected to need long-term care services for at least 120 days from the date you enroll;

  • meet the age requirement of the plan (the age requirement for a PACE organization is 55 years old; for most other plans, the age requirement is 65 years old);

  • live in the area served by the plan;

  • have or are willing to change to a doctor who is willing to work with the plan; and

  • have a way of paying that is accepted by the plan. All plans accept Medicaid. Some plans also accept Medicare and private pay.See the Managed Long-Term Care Plan Directory to find out which plans accept Medicaid, Medicare or private pay enrollees.

 

Eligible Insurances: 

 

  • HealthPlus (Amerigroup)

  • Senior Health Partners (HealthFirst)

  • Centers Plan for Healthy Living

  • Metro Plus

  • Senior Whole Health

  • HomeFirst

  • ElderPlan

  • VNS Choice

  • Extended MLTC

  • Self Pay

  • Center light

  • Medicaid

  • Integra

  • Village Care Max

  • Amerigroup

  • Arch Care

Call us today on    212.831.6100

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