What is Managed Long-Term Care?
Managed Long-Term Care (MLTC) is a program designed to help people with chronic illnesses who need help to stay in the home and community as long as possible.
Do I have to enroll in a Managed Long-Term Care plan?
No, you are not required to join an MLTC plan unless you have received a letter from Medicaid stating that you must join a plan.
Who is eligible for Managed Long-Term Care (MLTC) services?
People with Medicaid who:
- Have chronic conditions or serious disabilities that make you eligible for nursing home level of care
- Are able to stay at home at the time you join the plan
- Are expected to need long-term care services for more than 120 days
- Are at least 18 years or older
- Live in the service area (the Bronx, Brooklyn, Manhattan, Queens and Staten Island)
How does your plan help me?
Each member has his or her own care manager who will contact him or her periodically to see how he or she is doing. That means you have one person you work with who will help you.
The care manager is either a Registered Nurse (RN) or a social worker who is trained in managing chronic conditions.
Do you need Medicare?
No, you do not have to have Medicare to be eligible. The MLTC program is for nondual eligible persons (Medicaid only) and dual eligible persons (Medicaid and Medicare).
What is included in MLTC?
MLTC offers health and long-term care services (as long as they are medically necessary). Some of these services include:
- Home care
- Physical and speech therapies
- Respiratory therapy
- Personal care
- Personal Emergency Response Systems
- Social day care
- Adult day health care
- Nonemergency transportation
What does MLTC not cover?
There are six key things we don’t cover:*
- Lab tests
- Pharmacy benefits
- Behavioral health
You either get these services through Medicare or through fee-for-service Medicaid.
Are there copays?
No. When you join our MLTC program, you never have any copays for our covered services.
Do you lose your Medicaid benefits when you join our plan?
No. As an MLTC member, you are eligible for Medicaid and keep all the benefits you may currently enjoy.
Can I keep my doctor?
Because it’s not a covered benefit, you access the same doctor or specialist the way you do now.
If you also qualify for Medicare, you usually can keep the same primary care physician and specialists for your acute care.
How do you sign up?
Give us a call at 1-800-950-7679. We’ll schedule your in-home visit with a Registered Nurse, who will explain the program, assess your needs and answer any questions you have about the program. If you need help with Medicaid eligibility, we can assist you.
Other questions? Call 1-800-950-7679 and get answers.
We’re here from 8 a.m. to 8 p.m. local time — we’ll answer any questions you have about the program and do everything we can to help you. Our staff is as diverse as New York itself, and we are available to speak multiple languages to assist you.