FAQ

How do I enroll in Hamaspik Choice Managed Long Term Care Plan?

To begin the process of enrolling in an MLTC plan, you, or someone on your behalf (family, friend, doctor), contacts the plan in your area. A staff person from the plan makes one or more visits to your home before you join to:

• Explain to you the rules and responsibilities of plan membership
• Determine your eligibility for the plan
• Provide you with a copy of the member handbook and the plan's provider network
• Assist you with completion of the enrollment application and agreement
• Assist you with completing a Medicaid application, if needed
• Help you choose providers from the network of providers associated with the plan
• Set up a Care Plan with you by discussing your needs and answer any questions you may have

How does MLTC affect my Medicaid and/or Medicare coverage?

If you are currently receiving Medicaid and/or Medicare services, you still receive the same types of services usually paid for by Medicaid and Medicare. You do not lose any of your regular Medicaid or Medicare benefits. If the Medicare or Medicaid service is not covered by the plan, you may still receive the service outside the plan using your Medicare or Medicaid card.

Managed Long-Term Care:

Managed long-term care plans provide long-term care services and receive Medicaid reimbursement. Members receive covered services (see list of covered services below) through the MLTC plan with which they are enrolled. Members receive non-covered services (i.e. primary care physician and inpatient hospital services) using their Medicaid and/or Medicare cards.

You are eligible to enroll in managed long-term care if you:

• Are able to remain safely at home at the time you join the plan
• Are expected to need community based long-term care services for at least 120 days
• Meet the age requirement of the plan which is age 18 years or older
• Live in the area served by the plan; Rockland, Orange, Sullivan, Dutchess, Putnam and Ulster
• Are Medicaid Eligible.
• Are determined eligible for MLTC by using an eligibility assessment tool designated by the state