The Assisted Living Program (ALP), under 18 NYCRR Part 494, is Medicaid-funded care delivered inside a qualifying Adult Home or Enriched Housing Program setting -- covering personal care, home health aides, nursing, therapy, medical supplies, adult day health care and RN case management. It folds room and board into its rate structure differently than a pure HCBS waiver, so the exact private-pay portion varies by community.
The detail behind the program
Not every Adult Care Facility on Staten Island participates in ALP, and even among those that do, the number of ALP-funded beds can be limited and full at any given time. This is one of the single most consequential questions a family can ask early, because a community that does not hold an ALP agreement will require the family to leave -- often on short notice -- if private funds run out.
Ask directly: does this specific community hold an ALP agreement, and is a bed currently available under it? A community can technically hold the agreement on paper while having no actual capacity to admit a new ALP resident today.
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