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Managed Long-Term Care (MLTC)

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Welcome to Empire BlueCross BlueShield HealthPlus Managed Long Term Care Plan

Empire Managed Long-Term Care (MLTC) is designed for adults living with long-term health conditions or disabilities. 

Rated best overall plan performance with 5 stars!

According to the New York Department of Health’s 2015 Managed Long-Term Care Consumer Guide for NYC.

Our goal is to help our members live safely and independently in the comfort of their own home.  At Empire, you will have a dedicated team of nurses and social workers who will ensure that your care and services help you live as independently as possible. 

What you get with Empire

Covered services

When you join our plan, you keep all your current Medicaid benefits. Below is a partial list of Empire MLTC services. These benefits are covered when you join our MLTC program, so you never have any copays.

  • Adult day health care
  • Care management
  • Consumer Directed Personal Assistance Services (CDPAS)
  • Dentistry
  • Durable medical equipment
  • Enteral and parenteral supplements
  • Hearing aids/hearing aid batteries
  • Home health care
  • Meals (home-delivered or congregate)
  • Medical/surgical supplies
  • Nonemergency transportation
  • Nursing home care (Institutional Medicaid eligibility rules apply)
  • Nutritional counseling
  • Occupational therapy
  • Optometry/eyeglasses
  • Personal emergency response system
  • Physical therapy
  • Podiatry
  • Prosthetics and orthotics
  • Private duty nursing
  • Respiratory therapy
  • Social day care
  • Speech therapy

Respecting you and your choices

Consumer Directed Personal Assistance Service (CDPAS)

The CDPAS provides in-home services for people who:

  • Are self-directing or have someone to make choices about their care
  • Need community-based long-term care services

Being a self-directing member means you or a person you choose are responsible for making decisions about and managing your CDPAS services. These services are voluntary and provided through your Medicaid benefit at no cost to you.

Learn about CDPAS

Coordinated services

Coordinated services are those services that are not covered by your enrollment in Empire MLTC. You either get these services through Medicare or through fee-for-service Medicaid. Your care manager is here to assist you by arranging and coordinating these services for you.

  • Hospitalization
  • Physician care
  • Specialist care
  • Lab tests
  • Prescription drugs
  • Behavioral health

Is MLTC right for you?

You are eligible to enroll in MLTC if you:

  • Are 18 or older
  • Are eligible for Medicaid
  • Live in Brooklyn, the Bronx, Manhattan, Queens, Staten Island, Westchester, Nassau or Suffolk
  • Have a chronic illness or disability that makes you clinically eligible for enrollment, based on an assessment
  • Are expected to need at least one (1) of the following community based long-term care services for more than 120 continuous days from the effective date of enrollment:
    • Nursing services in the home
    • Therapies in the home
    • Home health aide services
    • Personal care services in the home
    • Adult day health care
    • Private duty nursing
    • Consumer Directed Personal Assistance Services

What is Medicaid Advantage Plus?

Medicaid Advantage Plus (MAP) is a Managed Long-Term Care plan for people who have both Medicare and Medicaid. When you join Medicaid Advantage Plus, you must also enroll with Empire Medicare. The plan helps make all of your benefits work better for you by coordinating your care and services. You’ll get your Medicaid home care and long-term care services, plus your Medicare services, such as doctor visits, specialists and medicines from the plan.

Learn more about MAP

Prior approvals

For some covered services, you may need a physician’s order and/or prior approval from Empire before you receive them. Your care manager can assist you with getting these services.

  • Adult day health care
  • Audiology/hearing aids
  • Dentistry
  • Durable medical equipment
  • Enteral and parenteral supplements
  • Hearing aid batteries
  • Home health care
  • Home-delivered/congregate meals
  • Medical/surgical supplies
  • Nonemergent transportation
  • Nursing home care
  • Nutritional counseling
  • Optometry/eyeglasses
  • Orthotics
  • Outpatient therapy
  • Personal care
  • Personal Emergency Response System
  • Private-duty nursing
  • Prosthetics
  • Respiratory therapy
  • Social day care

Already a member? We’re glad you chose Empire.

We want you to understand your benefits and receive the best possible care. Here are some resources to help.

Personal care manager

Your care manager is here to answer your questions and work with your providers to make sure that you have the right care at the right time. To reach your care manager, call Member Services at 1-855-661-0002 (TTY 711). You can call Monday through Friday from 8 a.m. to 5 p.m. Eastern time.

24/7 NurseLine

If you have medical questions and cannot reach your care manager, you can always call our 24/7 NurseLine and speak directly to a nurse. Call 1-855-661-0002 (TTY 711) any time, day, or night.

MLTC plan materials

Online Provider Directory

MLTC member handbook

Complete benefit information can be found in your member handbook.

Provider Directory

MLTC Brochure

NurseLine illustration

24/7 NurseLine

Whether it’s 3 a.m. or a Sunday afternoon, health issues come up. That’s why you can always call our 24/7 NurseLine and speak directly to a nurse. Call 1-855-661-0002 (TTY 711) anytime, day or night.

Tell us what you think

We’re always looking for ways to improve your plan. Our Member Advisory Council meets at least four times a year, so you can:

  • Tell us how we can better serve you
  • Give feedback about your plan
  • Hear what’s happening in the MLTC Community

To learn more, ask your care manager about upcoming events.