Behavioral Health means services that help people with mental illness or substance use disorders reach their health and recovery goals. These might include going to school, working and being part of the community.
Personal Care Assistance is the most common type of Medicaid-covered home care services in New York. PCA is covered by all kinds of MLTC plan. The services are provided by a certified, trained paraprofessional, employed by a licensed agency and supervised by a nurse. Personal care aides can assist a person with their ADLs such as bathing, dressing, grooming, walking, and using the toilet. They can also help with shopping, chores, and light housekeeping. Personal care aides cannot perform skilled tasks such as giving medication.
The New York State Department of Health is the single state agency responsible for running New York’s Medicaid program. DOH selects, contracts, pays, and oversees all Medicaid managed care plans, including all types of MLTC plan. ICAN is funded by DOH.
Long term care means services that help you with your activities of daily living. For example, if you need help from another person to bathe and get dressed, you could get a home attendant to come to your home to help you. Home care is a type of long term care. If you go to an adult day care center for activities and meals, that is also a type of long term care. Most people in New York who need this kind of help can get it in their own homes. If you can’t live safely in your own home, you can also receive long term care in a skilled nursing facility (also called a nursing home). Medicare doesn’t pay for long term care; only for short stays in skilled nursing facilities or a few weeks of home health aide services. Medicaid does pay for long term care.
Mainstream Medicaid Managed Care is the type of health insurance that most people with Medicaid in New York have. Once you have been approved for Medicaid, you must choose a Medicaid managed care plan. These are private health insurance companies that provide all of the health coverage available under Medicaid. Once you are enrolled in an MMC plan, you will receive a card which you will use to access all of your medical care, including long term care. There are only a few Medicaid services that you still would use your Medicaid card for.
Managed Long Term Care is a type of Medicaid health insurance that covers long term care services for people who need help with their activities of daily living. There are four kinds of MLTC in New York: Medicaid MLTC, MAP, PACE and FIDA.
The New York state public health insurance program for people with limited income. Medicaid provides free, comprehensive health insurance for over 5 million New Yorkers. Medicaid is also the primary source of coverage for long term care services, such as home care and nursing home care.
The national public health insurance program for people age 65 or older and people receiving Social Security Disability Insurance. Medicare covers doctors, hospitals, prescription drugs, and most medical care and treatments. You do not need to have low income to get Medicare. Medicare is not free, but there are programs that can reduce or eliminate the costs of Medicare. There are certain services that Medicare does not cover, including routine dental care and long term care services. You can have both Medicare and Medicaid if you qualify.