Managed Long Term Care

The main goal of managed long-term care is to help you stay in your home as long as possible. It gives you the care you need to do daily activities that you may no longer be able to do without help. It provides medical, personal and social services.

Aetna Better Health of New York has a network of quality providers in your area. You will be able to select providers from this network that best meet your needs. As a member, you will be assigned a care management team that will get to know you and your needs. The team will help you find long-term care providers and services to meet your needs.

An aide may be assigned to help you with activities of daily living (ADL) when you can no longer do these things for yourself. ADLs include things you do every day, such as:

• Eating and preparing meals
• Going to the bathroom
• Getting in and out of bed safely
• Bathing
• Dressing

Help with these activities may be given at home by caregivers, such as home health aides or personal care aides.

There is also a Consumer Directed Personal Assistance Program for Medicaid-eligible members who need home care services and are capable of managing their own care. You would direct your own care by choosing who will help you. You hire, train, schedule and supervise your personal assistant. Your care manager can help you decide if this program is right for you. 

Our goal is to help you stay as independent as possible. But if you are not able to stay in your own home, we still can help.

At times, you may need more care than we can give you at home. When this happens you may need to go to a nursing home. Your stay at the nursing home may be for a short time or permanent. We are contracted with nursing homes to make sure you have choices when you can no longer stay at home. Your care manager will help you and your family with this decision.

For more information about our Medicaid managed long term care services, contact us at 1-855-456-9126 or e-mail us.