Guides to New York's rules
How New York Licenses Assisted Living
New York's licensing is layered, not single-tier: base Adult Care Facility license, then optional ALR, then optional EALR or SNALR certification on top.
Read →Memory Care: Disclosure or Certification in New York?
New York requires a real state certification for memory care -- SNALR -- not just a written disclosure. Here is what that certification actually requires.
Read →How to Verify a Facility's License
The state tools that show license status and inspection history, and why a clean review page means nothing about the regulatory record.
Read →Medicaid Expansion vs. Long-Term Care Medicaid
New York fully expanded Medicaid under the ACA effective January 1, 2014 -- a completely separate pathway from asset-tested Long-Term Care Medicaid for seniors.
Read →New York's Assisted Living Program (ALP), Explained
ALP is Medicaid-funded care inside a qualifying Adult Home or Enriched Housing setting -- not a freestanding HCBS waiver, and not room and board.
Read →New York's In-Home Medicaid Pathways, Explained
Managed Long Term Care (MLTC) and the NHTD waiver are New York's primary Medicaid routes for care delivered at home rather than inside a facility.
Read →Managed Care for Medicare/Medicaid Dual-Eligibles in New York
MLTC coordinates long-term services and supports for New York's dual-eligible population -- mandatory citywide in NYC, including Staten Island, since 2012.
Read →The Local Ombudsman and Filing Complaints
Two different systems: the free, independent long-term care ombudsman, and the state health department complaint line. Here is when to use each.
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