Long-Term Services
and Supports (LTSS)
The Long-Term Services and Supports (LTSS) program is a free service
that provides assistance for Medicaid members with chronic illnesses/
disabilities who require long-term home and community-based services.
LTSS is comprised of community-based services such as home health
services, private duty nursing, consumer-directed personal assistance
services, adult day health care programs, AIDS adult day health care
programs, personal care services, and institutional services including
long-term placement in residential health care facilities.
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Who is eligible for the program?
Medicaid members of all ages with mental illness and/or
multiple chronic conditions who require assistance with routine
daily activities such as bathing, dressing, preparing meals, and
medication adherence.*
How do members enroll?
Members may be self-referred, or referred by family, caregivers,
providers, home health agencies, facilities, or utilization
management. See Care Management contact information below for
more enrollment contact information.
How does the program benefit the member?
• Facilitates collaboration with members, providers,
the interdisciplinary care team (ICT), and caregivers to
develop a person-centered service plan of care (PCSP).
• Coordinates benefits and services.
• Provides community resources and assesses social determinants
of health.
• Identifies gaps and/or barriers to care and provides resources
to address them.
• Provides coordination between health care professionals,
discharge planners, and provider care teams to facilitate
the member’s transition between levels of care.
PROVIDER RESOURCES
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• Makes referrals to other programs, services, or departments
within EmblemHealth.
How can you support members/your patients in the program?
• Collaborate with the member’s care team to reinforce
the care plan if there is a change in the member's condition.
• Coordinating with the Care Management team helps to address
any outstanding gaps in care.
• Working with the member helps to define and meet their
ongoing care goals.
Are there additional considerations?
Qualified members are provided with a broad range
of day-to-day long-term service and support needs.
How long is the program?
The program is ongoing, as long as the member has a care need.
How do I find out more?
Call our Care Management department at 800-447-0768
(TTY 711), Monday through Friday, 9 a.m. to 5 p.m. or email
longtermsupportservices@emblemhealth.com.
* Some managing entities (delegates) offer their own care management programs for
EmblemHealth members under their care. For more information about their care
management programs, go to emblemhealth.com/providers/manual/health-
promotion-and-care-management, under the "Care Management Programs"
drop-down, at the bottom.
