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Managed long-term care (MLTC) is a system that streamlines the delivery of long-term services to people who are chronically ill or disabled and who wish to stay in their homes and communities.
Home Care programs are Medicaid-funded long-term-care programs designed to help eligible elderly or disabled individuals remain safely at home, rather than in a nursing home. Home Care programs have different eligibility requirements, but they all require that you be eligible for Medicaid.
For long term care services, you must generally fall into at least one of these categories: 65 years of age or older, be disabled and eligible or receiving supplemental support from the Social Security Administration, or have a diagnosis of blindness.
Eligibility for individuals and sole proprietors: the individual must be a New York State resident. the individual or the individuals spouse must have worked at some point within the last 12 months. the individuals employer must not arrange for and contribute to the cost of comprehensive insurance.
To be eligible for Health Home services, an individual must have either two chronic conditions (see Appendix A - Health Home Chronic Conditions List) or one single qualifying condition, as follows: HIV/AIDS, or. Serious Mental Illness (SMI) (Adults), or. Sickle Cell Disease (both Adults and Children), or.
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Eligibility for MLTC: Dual eligible individuals (having both Medicare and Medicaid), who are age 21 and older and who are assessed as needing community based long term care services for more than 120 days must enroll in MLTC in order to receive those services.
The Medicaid program, as in all states, pays for nursing home care, and some personal care, for qualified New York residents. The Community First Choice State Plan Option (CFCO) provides personal care assistance in the homes of seniors who require a nursing home level of care.

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