New York's dual-eligible managed care model runs through Managed Long Term Care (MLTC) -- PACE or MLTC Partial Capitation / Medicaid Advantage Plus -- which coordinates long-term services and supports for people enrolled in both Medicare and Medicaid.
What it coordinates
MLTC plans coordinate long-term services and supports -- home care, adult day health care, nursing home placement when needed, and care management. Medical coverage for most dual-eligibles continues to run through Medicare and, separately, regular Medicaid, rather than being folded entirely into the MLTC plan.
Is it stable, or changing?
Mandatory MLTC enrollment in New York City has been in place since 2012 and is a settled program, not a pilot in transition -- unlike some other regions of the state where MLTC rollout has been more recent. Confirm current enrollment requirements directly with NY Medicaid Choice (New York Medicaid's enrollment broker) before assuming a specific plan's rules.
Source: NYSDOH Managed Long Term Care
