MLTCManaged Long-Term Care (MLTC) Services in New York
Managed Long-Term Care (MLTC) Services in New York — Cottage Home CareCottage Home Care helps NY seniors and adults with disabilities access MLTC-managed Medicaid home care across NYC, Nassau, Suffolk, and Westchester. We coordinate NYIA and MLTC RN assessments, plan enrollment, and caregiver matching so your family gets the hours you need.
- NYSDOH-Licensed MLTC Plans
- Certified Home Health Aides
- NYC, Nassau, Suffolk, Westchester
Verified & compliant
We call or email within one business day.
What Is Managed Long-Term Care (MLTC)?
MLTC is a New York Medicaid program. It pays for home care so you can stay at home instead of moving to a nursing home. A plan approved by the state sets up and manages your care.
Home-Based Support
Your aide comes to your home. You get help with daily tasks and stay where you are most comfortable.
Medicaid-Funded Services
Most Medicaid members pay nothing for covered home care. The plan handles the costs.
Personalized Care Coordination
A care manager is assigned to you. They set up your services and stay in touch when things change.
MLTC at a Glance
Key facts about the program in one place.
- Program Name
- Managed Long-Term Care (MLTC)
- State
- New York
- Primary Coverage
- Medicaid long-term home care services (CBLTSS)
- Who It Helps
- Adults who need long-term home care and want to stay at home
- Common Services
- Personal care, home health aides, therapy, care management, and more
- Key Requirement
- Active NY Medicaid, a need for home care lasting more than 120 days, and a completed New York Independent Assessor (NYIAP) evaluation
Services That May Be Covered Through MLTC
What you get depends on your plan and your care plan. These are the most common services.
Personal Care Assistance
Help with bathing, dressing, grooming, and other daily tasks at home.
Home Health Aide Services
A trained aide gives hands-on care based on your approved plan.
Nursing Services
A nurse visits your home to help with medications and health checks.
Physical & Occupational Therapy
Therapy to help you stay active and do daily tasks on your own.
Adult Day Health Care
Daytime programs with health care, therapy, and social time outside the home.
Meals & Nutrition Services
Meals brought to your door when you need help with food.
Medical Transportation
Rides to your doctor when you cannot drive or take the bus.
Dental, Vision & Podiatry
Dental, eye, and foot care covered by many MLTC plans.
Cottage Home Care gives MLTC members trained Home Health Aides. We do not decide who qualifies and do not give skilled nursing or clinical care. Your approved hours come from your MLTC plan.
New York-Focused Support
We know how NY Medicaid works
Experienced Intake Guidance
We help from the first call to the start of care
Personalized MLTC Assistance
Help based on your county and your needs
Multilingual Support
We help families in many languages
Active HHA Aides
Extensive Experience
Expert Medical Team
Who May Qualify for MLTC in New York?
The state decides who qualifies for MLTC. It is based on your Medicaid, your health, and how long you need care. We can help you check before you apply.
Not sure if you qualify? Call us. We will check your Medicaid for free. Also note: you cannot be in MLTC and HARP, Health Homes, or PACE at the same time.
- Active or qualifying New York Medicaid
- Meet the age or program rules for the plan type you want
- Need home care for more than 120 days
- Pass the health check through the New York Independent Assessor Program (NYIAP)
- Live in the service area of the plan you pick
- Can stay at home safely with the right help in place
You cannot be enrolled in MLTC while also enrolled in NHTD, an OPWDD waiver, or a Health Home, since these are separate care management structures.
If you don't currently qualify for MLTC, Private Pay home care may still be an option.
These are real families in your neighborhood who made the same call you're thinking about making.
Testimonials From Our Patients
and CareGivers
Cinthya Almendarez
Profession : Patient
Service: HHA
Riverside Select Services, LLC DBA Cottage Homecare Services is a spectacular agency with a great work environment. I can call any hour and there is always someone on the phone who will answer me and provide the help I need.
Rated 5 out of 5
5
Sherry Fiedtkou
Profession : Patient
Service: HHA
I'm having the best experience working with Riverside Select Services, LLC DBA Cottage Homecare Services The staff and management is exceptional because I've been working in the Home care for 17 years and this is one of the best agencies.
Rated 4.8 out of 5
4.8
Natividad Mateo
Profession : Patient
Service: NHTD
Excellent customer service and employee service, always with a smile. Staff is caring and loving and receptive to your needs. Great home care agency to sign up with for work, or to receive Homecare services at home.
Rated 5 out of 5
5
Service Area
Cottage Home Care serves downstate New York
We have offices in Freeport, Queens, and Jamaica. We serve NYC, Long Island, and Westchester. Call us to check if we cover your area.
Official New York MLTC Resources
Plans and rules change. Use these links to get current information straight from New York State.
03 sources
NYSDOH MLTC Consumer Guides
State ratings for MLTC plans by region — how each plan scores on care quality and member satisfaction.
New York Medicaid Choice
The state's MLTC enrollment broker. Compare plans by county and start your enrollment here.
NYS MLTC Plan Directory
Full list of approved MLTC plans in New York, sorted by county.
How to Start MLTC Home Care
Cottage Home Care can guide you through each step, whether you are already enrolled or just getting started.
- 1
Confirm your Medicaid
Active New York Medicaid must be in place before the MLTC process can begin. If you're not enrolled yet, we can point you in the right direction.
- 2
Complete the NYIA Assessment
The New York Independent Assessor (NYIA) evaluates medical eligibility for long-term home care. This determines whether you qualify to move forward.
- 3
Select an MLTC plan
Once approved, you choose a Managed Long-Term Care plan. The plan's own RN then assesses your needs and finalizes your care hours.
- 4
Care starts
We match you with a certified aide and confirm your authorization is active before your first visit.
Common Questions About MLTC
Have more questions about the Managed Long-Term Care in New York? We're here to help.
(516) 367-2266MLTC means Managed Long-Term Care. It is a New York Medicaid program. It pays for home care so you can stay home. Most Medicaid members pay nothing for covered services.
You need active New York Medicaid. You need home care for more than 120 days. You also need to pass a health check through NYIAP. The state decides who qualifies.
Yes, for covered services. This includes personal care aides, home health aides, nursing, and therapy. Most Medicaid members pay nothing for these services. What you get depends on your plan and your care plan.
It depends on where you live and what care you need. Home First MLTC, VNS Health, and MetroPlusHealth are large NYC plans. Check NYSDOH ratings at health.ny.gov. No one plan is best for everyone.
Start with the NYSDOH Consumer Guides. They score each plan on care quality and aide timeliness. Then check if the plan covers your area and if your doctors are in-network.
With a Partial MLTC plan, yes. Your Medicare and doctors stay the same. With MAP or PACE, Medicare and Medicaid join into one plan. You may need to use that plan's doctors.
Yes. For the first 90 days, you can switch for any reason. After that, most members are locked in for 9 months. You can leave early if you move out of the plan’s area.
It depends on your health check and the plan you pick. Send your paperwork by the 20th to start the next month.
NYIA is a required health check for new MLTC applicants. A state nurse looks at your daily care needs by video call. Call 855-222-8350 to set up your visit.
Cottage Home Care serves all five NYC boroughs, Nassau, Suffolk, and Westchester. Call (516) 367-2266 or fill out the form on this page. Go to nymedicaidchoice.com to find plans in your ZIP code.
Most Medicaid members pay nothing for covered home care. If your income is too high, you may owe a small monthly amount. A pooled income trust can lower that. Call us if you need help.