What is a Managed Long Term Care Plan?

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.

Managed Long-Term Care Plans (MLTCP) provide long-term care services (like home health and nursing home care) and ancillary and ambulatory services (including dentistry, and medical equipment), and receives payment from Medicaid. Members get services from their primary care physicians and inpatient hospital services using their Medicaid and/or Medicare cards.

You may be eligible to enroll in Centers Plan for Healthy Living’s MLTCP, if you are:

  • At least 21 years old;
  • Living in CPHL’s contracted service areas (Bronx, Erie, Kings, Nassau, New York, Niagara, Queens, Richmond, Rockland, Suffolk or Westchester counties);
  • Deemed eligible for Medicaid by the Human Resources Administration (HRA) or Local Department of Social Services (LDSS):
  • Seeing a Primary Care Physician (PCP) or are willing to choose a PCP who is willing to work with CPHL;
  • Require long-term care services offered by CPHL for 120 days or more from the date of enrollment.
  • You are required to have at least one of the following services:
    • Private Duty Nursing services
    • Therapies in the home (Occupational, Physical, or Speech)
    • Home health aide services
    • Personal care services in the home
    • Adult Day Health Care
    • Consumer Directed Personal Assistance Services (CDPAS)

     

    For more information about Managed Long-Term Care Plans, please click here.