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Long-term care

Sometimes, you need a little extra care. We’ll work closely with you to get you the care you need to live your best life.

Managed Long Term Services and Supports (MLTSS)

Managed Long Term Services and Supports (MLTSS)

Some members are eligible for MLTSS. To qualify, you or your loved one will need to meet:

 

  • The state’s criteria for needing an institutional level of care 

  • Some financial requirements 

You can get MLTSS in your home or assisted living facility. You don’t need to live in a nursing facility or other facility.  

MLTSS benefits

If you or your loved one qualifies for MLTSS, here are some benefits:

Your Care Manager

Your Care Manager

If you qualify, you’ll work with an Aetna® Care Manager. Your Care Manager will visit you in person. They’ll work with you, your family and friends to assess your health care needs. They’ll also work with your Provider to help plan your care. You’ll have a Care Manager for as long as you stay in the MLTSS program.

 

You can call your Care Manager anytime for help or to make plans for a face-to-face visit. Your family and friends can also be there. Your Care Manager will visit:

 

  • Every 6 months, for members who live in a nursing home

  • Every 3 months, for members who live in an assisted living facility

  • Every 3 months, for members who live in their own home or a family home

 

Is your Care Manager sticking to this schedule? If not, just call us at 1-844-362-0934 (TTY: 711). We can help. 

 

Your Care Manager will never make you move against your wishes. We’ll help you live in the place that meets your needs. This may be at home, an assisted living center or a nursing home.

Money Follows the Person (MFP)

MFP is a program that helps you move from a long-term care facility (nursing home or state hospital) to a residential setting in the community, such as: 

 

  • A home you or your family owns or rents 

  • An apartment with an individual lease that includes living, sleeping, bathing and cooking areas 

  • A residence where 4 or fewer unrelated people live (such as adult family care or shared apartment) 

 

To take part in this program, you must: 

 

  • Have lived in a long-term care facility for at least 3 months 

  • Be eligible for both Medicaid and MLTSS before discharge 

  • Have health needs that community services can meet

  • Agree to take part by signing a consent form 

 

The MFP program will help you find a place to live, as well as services you may need. To learn more about MFP:

 

  • Call your Care Manager 

  • Call MLTSS Member Services at 1-844-362-0934 (TTY: 711) 

Learn more about MLTSS

Need to learn more about MLTSS? Check these sites from the state of New Jersey:

This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a Provider or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. The availability of any particular provider cannot be guaranteed and is subject to change. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna® plans, refer to our website.

Find out if you qualify.

Call Member Services at 1-844-362-0934 (TTY: 711).