Written by attorney Brittni A. Sullivan

Managed Long Term Care

Once an individual is financially approved by the local Department of Social Services for Community Medicaid, he or she must enroll with a Managed Long Term Care Company (or “MLTC”). The MLTC will send a nurse to the Medicaid recipient in order to evaluate and create a care plan. The evaluation typically will result in an award of hours to the Medicaid recipient for a home health to come to the home and assist the recipient with activities of daily living. The amount of hours can consist of a few hours per day or live-in care depending on the needs of the Medicaid recipient. If the Medicaid recipient is satisfied with the care plan, he or she could choses to enroll with the MLTC. Recently, one of the MLTCs, GuildNet, announced that it will no longer service Long Island and sought permission from the Department of Health to drop all current Long Island enrollees effective June 1, 2017. This has led many Long Island Medicaid recipients to panic due to the fear of having a gap in coverage.

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