MLTC is New York's Medicaid managed-care delivery system for long-term care -- either PACE (age 55+) or MLTC Partial Capitation/Medicaid Advantage Plus. Enrollment has been mandatory in New York City, including Richmond County/Staten Island, since 2012 under Medicaid Redesign Team Initiative #90, approved August 31, 2012.
The detail behind the program
What makes Staten Island's situation slightly unusual within New York State is timing: New York City was actually the first region in the state where mandatory MLTC enrollment took effect, ahead of the later rollout on Long Island. That means the program has been running in its current mandatory form on Staten Island for well over a decade, and is not a recent or unsettled change.
To qualify, a person generally needs to be Medicaid-eligible and assessed as needing nursing-home-level services for 120 days or more (55+ for PACE, generally 65+ for the other MLTC options). Start the enrollment conversation through NY Medicaid Choice or through NYC Aging (DFTA)/NY Connects (CASC), since assessment and plan-selection steps take real time to complete.
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