To qualify for NY Medicaid's Managed Long Term Care (MLTC) Program, which is available via DAB Medicaid, an applicant must require a Nursing Facility Level of Care (NFLOC), and they must need long-term care for more than 120 days.
Managed Long-Term Care Program: Covers case management, nursing, home health aides, home attendant services, physical therapists for people who are Medicaid eligible, or eligible for both Medicaid and Medicare, and are medically eligible for long term care services. More information from the NYS Department of Health.
Definitions. Parents of Dependent Children: Income limits for 2024 are reported as a percentage of the federal poverty level (FPL). The 2024 FPL for a family of three is $25,820. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2024 FPL for an individual is $15,060.
The DOH-4220 - Access NY Health Care application can be used for all Medicaid benefits -- including for those who want to apply for coverage of Medicaid long-term care -- whether through home care or for those in a nursing home (with the addition of the Supplement A form, described below).
The minimum criteria to qualify and be accepted for basic training are: Maturity, emotional and mental stability; experience in personal care or homemaking. Ability to read and write, understand and carry out directions and instructions, record messages, and keep simple records.
Please call the NY State of Health Customer Service Center at 1-855-355-5777 if you need additional information or if you would like to receive instructions regarding mailing or faxing your documentation.
What documentation do I need to apply? Valid and current driver's license. Valid and current passport. Original US birth certificate. Social Security card.
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.
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.