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New York Medicaid's Managed Long Term Care Program Waiver

What are Medicaid Waivers?
Medicaid pays for long term care services in nursing homes.  For nursing home qualified persons that choose to live at home or in a residential community, Medicaid will pay for those services if they can be obtained at a lower cost.  These are called Home and Community Based Services, Waiver Funded Services, Medicaid Waivers or simply Waivers.
 
  Managed Long Term Care Program Waiver Overview
This New York Medicaid waiver program is designed to provide assistance with day-to-day activities for older adults due with chronic illnesses or disabilities.   The individuals must be eligible for nursing home care but choose to remain living at home to receive the assistance at that location.
  Qualifcations for the Managed Long Term Care Program Waiver
In addition to being qualified for nursing home care and 65+ year olds, New Yorkers must be financially eligible for Medicaid.

Qualifying for Medicaid is a complicated process involving a review of a family’s income, assets and asset transfers as far back as 5 years.  Rules change by state and there are many exceptions, but typically monthly income cannot exceed $2,000 and “countable asset” limits, excluding the car and home, range from $2,000 to $8,000.  

Not qualifying for Medicaid can be devastating to the comfort of an individual, their family’s finances and even their health.  For these reasons, Medicaid planners exist to ensure families have the best chance of acceptance into the program.  With care costing $1000’s / month, there is a strong incentive to use a Medicaid Planner.  Find assistance applying for Medicaid.
  Services Provided under the Managed Long Term Care Program Waiver
  • Care Management
  • Home Care, including Nursing, Home Health Aide, Occupational, Physical and Speech Therapies
  • Rehabilitation Therapies
  • Nutrition
  • Personal Care
  • Medical Social Services
  • Adult Day Health Care
  • Chore Service and Housekeeping
  • Home-Delivered Meals
  Availability of Managed Long Term Care Program Waiver
At the time of writing, this waiver was available in the counties of Nassau, Rockland, Orange, Westchester, Schenectady, Oneida, Onondaga, Erie, Herkimer, Monroe, and the five NYC counties.  Additional counties may have been added to the program, check the NY Department of Health website.


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