Yes. Mandatory MLTC enrollment in New York City -- including Richmond County/Staten Island -- began under Medicaid Redesign Team Initiative #90, approved August 31, 2012. New York City was actually the first region in New York State to require mandatory MLTC enrollment, ahead of the later rollout on Long Island.
What is specific to this county
This is a well-established, longstanding program by now, not a recent or unsettled change -- it has been the operating framework for Staten Island's Medicaid long-term-care delivery system for well over a decade. Families sometimes assume mandatory managed care enrollment is a new or unusual requirement, when in this specific region it has actually been standard practice since 2012.
For a Staten Island family navigating Medicaid long-term-care eligibility, this means enrollment in an MLTC plan (PACE or MLTC Partial Capitation/Medicaid Advantage Plus) is generally a required step, not an optional one, once someone meets the underlying eligibility criteria for community-based long-term-care Medicaid.
Related questions
- What county is Staten Island, and does that matter for senior care planning?
- Who is the Area Agency on Aging for Richmond County?
- Where is Richmond County's seat, and why does that matter for elder-law needs?
- Does Richmond County have its own separate Adult Protective Services office?
- Does Staten Island have its own dedicated Long-Term Care Ombudsman region?
