Program
New York Medicaid home care (managed long-term care)
New York Medicaid plans that pay for home care instead of a nursing home.
What it can pay for
- a home care aide
- personal care
- homemaker help
- adult day care
- respite care
- a medical alert button
- medical equipment
- meals
- rides
- grab bars
- ramps
- wider doors
- stair lift
- Official name
- New York Medicaid Home Care through Managed Long Term Care (MLTC) — replaces the closed LTHHCP/Lombardi program
- Where
- NY
- Status
- Call to check
- About the amount
- No per-person dollar cap in MLTC; the plan sets hours through a care plan from the assessment. NHTD home mods: under $45,000 per 36 months (home + vehicle combined); DOH prior approval required at $15,000+.
- Housing rules
- No ownership test for home care. NHTD E-mods allowed in a rental with the owner's written approval and no expectation of restoration.
- How long it takes
- Not published. Multi-step process: DSS/HRA Medicaid application -> NYIA assessment -> NY Medicaid Choice plan enrollment -> plan builds a care plan.
- How to apply
- Apply for Medicaid through your county Department of Social Services (NYC: HRA), then call NYIA for the in-person/video assessment, then NY Medicaid Choice to enroll in an MLTC plan.
- Does not pay for
- MLTC partial-capitation plans don't cover doctor/hospital care (stays with Medicare). NHTD excludes room additions, carpet, roof repair and central air unless medically necessary, and requires proof all other resources (VA, RESTORE, Access to Home) were exhausted first.
- Official source
- health.ny.gov
- Last checked
- January 1, 2026