New York's Assisted Living Program (ALP), governed by 18 NYCRR Part 494, pays for care services -- personal care, home health aides, nursing, therapy, medical supplies, adult day health care and RN case management -- inside a qualifying Adult Home or Enriched Housing Program setting. It is administered through NYSDOH and the facility's own Medicaid enrollment, not a separate application process like a standalone waiver.
What it covers
Personal care, room and board, housekeeping, home health aides, personal emergency response systems, nursing, physical/occupational/speech therapy, medical supplies, adult day health care, and RN case management -- delivered inside the licensed facility.
Whether a specific community offers it
Not every Adult Care Facility offers ALP, and ALP capacity within a participating community can be limited. Ask directly: does this community hold an ALP agreement, and is a bed currently available under it?
