Long-Term Care Services (LTC) refers to the wide range of in-home, community-based, and institutional services and programs that are designed to help the elderly and individuals with disabilities of all ages. These services can be medical and non-medical and can help people with activities of daily living (ADLs) such as dressing, bathing and using the bathroom, and instrumental activities of daily living (IADLs) such as food shopping and preparing meals.

HRA provides access to, or authorizes services for, a variety of long-term care services through MICSA program areas. Access to additional services is available through the New York State Department of Health, the New York City Department for the Aging (DFTA) and the Mayor's Office for People with Disabilities (MOPD).

Learn more about long-term care from the NYS Department of Health.

In-Home LTC Services
Below is a list of home-based services for which HRA either provides access or authorizes services. Please click on the links below to learn more about each program and eligibility and/or access requirements.

• Personal Care (a.k.a. Medicaid-Funded Home Care) - home attendant and housekeeping services for people having difficulty with at least one or more activities of daily life, such as walking, cooking, cleaning, bathing and using the bathroom.
• Personal Care Services Program for Persons with AIDS or Advanced HIV - personal care for people with AIDS or advanced HIV illnesses. 
• Long-Term Home Health Care Program - home care, case management, and skilled services for people requiring a higher level of care (skilled nursing home-level care at home).
• Managed Long-Term Care Program - case management, skilled services and home care services for people who are Medicaid-eligible, or eligible for both Medicaid and Medicare, and who are medically eligible for the level of care normally provided in a health-related facility or skilled nursing facility.
• Care-at-Home Program - medical and related services for severely disabled children who would otherwise be required to remain institutionalized.
• Adult Protective Services - state-mandated case management program that arranges for services and support for physically and/or mentally impaired adults who are at risk of harm and have no one who can responsibly assist them.

The NYC Department for the Aging also offers various services that interlace with the long-term care system, including 329 senior centers, caregiver and in-home services, the Long-Term Care Insurance Resource Center, and case management services. These services can be accessed by calling 311 or through the NYC Department for the Aging.

Learn more about the services provided by the NYC Mayor's Office for People with Disabilities or contact MOPD at the following:

100 Gold Street, 2nd Floor
New York, NY 10038
Tel (212) 788-2830
Fax (212) 341-9843
TTY (212) 788-2838 (212)

Community-Based LTC Services
Below is the community-based service for which HRA either provides access or authorizes services.

• Assisted Living Program - long-term residential care, supervision, and home health care services.

Institutional-Based LTC Services
Below is the institutional-based service for which HRA either provides access or authorizes services.

• Nursing Homes - long term care facilities that serve patients who have a chronic illness or disability.