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The Federal Medicaid Agency (CMS) approved to a big change in how the New York State Medicaid
Program determines the need for and delivery of personal care services. Personal care services are broken
down into both "home attendant" services and "housekeeping" services. Basically, Medicaid will pay
a fixed monthly fee to a home care agency to provide Medicaid home care services.
What does this mean for the average Medicaid applicant/recipient?
The Medicaid home care program is now like an HMO
- also know as a capitated medical program. Under the Managed Long Term Care (MLTC) model, all MLTC approved home care
agencies will be paid a fix dollar each month to provide care for each Medicaid covered particpants. Managed Long
Term Care Plans (MLTC Plan) will provide all home care services needs. New applicants will be asked to select an
MLTC Plan as their services provided at the time of application. The new program name will be "New York Medicaid
Choice". There are no changes to the basic income and assets rules for establishing Medicaid eligibility.
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For help in choosing an MLTC provider click the link below: