Managed Long-Term
Care (MLTC) Plan

MetroPlusHealth Managed Long-Term Care is a health care plan especially designed for people 21 years or older, who live in the Bronx, Brooklyn, Queens, Manhattan, and Staten Island who need long-term care services, and have Medicaid. MetroPlusHealth Managed Long-Term Care offers the assistance you need to live safely at home.

Have questions about your long-term care options? Visit our Virtual Office here. Our MLTC representatives can answer your questions and help you from the comfort of your own home.

Social Care Networks (SCNs) connect Medicaid members to vital community resources that go beyond traditional healthcare. These services help address everyday needs such as housing support, food assistance, employment resources, childcare, and transportation, ensuring members have the support they need to live healthier and more stable lives. By linking medical care with social services, SCNs provide a more complete approach to health, helping Medicaid members overcome barriers, reduce stress, and focus on their overall well-being.

Our members can access these services at the following participating SCNs:

• SCN Counties Phone number Public Health Solutions Manhattan, Queens, Brooklyn, 888-755-5045, https://www.wholeyou.nyc/
• Staten Island Performing Provider System Richmond,
  917-830-1140, https://statenislandpps.org/social-care-network/
• Somos Healthcare Providers, Inc. Bronx, 833-SOMOSNY (833-766-6769), https://www.somoscommunitycare.org/social-care-network/

Who would make your health care decisions if you were too sick to speak for yourself? Learn more about Advance Directives and get resources for planning ahead.

Your Care Plan:

When you join MetroPlusHealth Managed Long-Term Care, you will be assigned a Care Manager. Your Care Manager will work with you, your family, your primary care physician (PCP) or others that you choose to work on your behalf. Your Care Manager will develop an individual care plan for you.

Your Care Manager will develop a care plan that is specific to meeting your individual medical, physical, emotional, and social needs, based on the initial comprehensive assessment. Your written care plan covers the services you need, how often you need them and how long you will need them for. Your care plan is reviewed at least every six months, but can be reviewed more often if your condition and needs change. You will receive a copy of your care plan.

• 24 Hours a day, 7 Days a week On-Call Services
• Adult Day Health care
• Care Coordination
• Chore Service and Housekeeping
• Dental Care
• Durable Medical Equipment, including Medical and Surgical Supplies, Prosthetics, Orthotics, and Orthopedic Footwear
• Eye exam and eyeglasses
• Foot Care
• Hearing Exams and Hearing Aides (including hearing aide batteries)
• Home Care including nursing, home health aides, rehabilitation therapies, and medical social work
• Home Delivered or Congregate Meals
• Home Safety Modification/Improvement
• Long-Term Placement at a Veterans’ Home
• Nursing
• Nursing Home Care (certain Medicaid restrictions apply)
• Nutritional Counseling and Nutritional Supplements
• Personal Care
• Personal Emergency Response System (PERS)
• Private Duty Nursing
• Rehabilitation Therapies (Physical, Occupational, and Speech Therapy) provided in Setting other than Home
• Respiratory Therapy
• Respiratory Therapy and Oxygen
• Scheduled Transportation to Health related Appointments
• Social Adult Day Care
• Social and Environmental Support
• Telehealth

To search our provider network for our Managed Long-Term Care Plans, please use our Find a Doctor search tool.

Know your rights and protections against surprise medical bills!

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible. Learn more here.

Are you receiving care at an NYC Health + Hospitals facility?
Manage Your Health Online With MyChart. Members who receive care at NYC Health + Hospital facilities now have access to MyChart. MyChart is a free secure portal you can use to manage your health information.
MyChart allows you to:

• Message your primary care provider’s office.
• Request refills of your prescription drugs.
• Access your test results.
• Schedule appointments.

For more information and to sign up go to
https://www.nychealthandhospitals.org/mychart/