Guides to New York's rules
How New York Licenses Assisted Living
New York layers its licensing: a base Adult Care Facility license, then optional ALR certification, then optional EALR or SNALR certification on top of that.
Read →Memory Care: SNALR Certification in New York
New York requires a Special Needs Assisted Living Residence (SNALR) certification for dementia-specific care -- an add-on to an ALR license, not a separate disclosure requirement.
Read →How to Verify a Facility's License
The state tools that show license status and inspection history, and why a clean review page means nothing about the regulatory record.
Read →Medicaid Expansion vs. Long-Term Care Medicaid
New York fully expanded Medicaid under the ACA in 2014 -- a completely different eligibility pathway from long-term-care Medicaid for seniors.
Read →New York's Assisted Living Program (ALP), Explained
The Assisted Living Program (ALP) is New York's Medicaid pathway that pays for care services inside a licensed Adult Home or Enriched Housing Program.
Read →New York's In-Home Medicaid Waiver (NHTD), Explained
The Nursing Home Transition and Diversion (NHTD) Medicaid Waiver is New York's primary in-home HCBS waiver for seniors needing nursing-home-level care.
Read →Managed Long Term Care (MLTC) for Dual-Eligibles, Explained
Managed Long Term Care (MLTC) is New York's system for Medicare/Medicaid dual-eligibles, mandatory in Nassau and Suffolk since 2013.
Read →The Local Ombudsman and Filing Complaints
Two different systems: the free, independent long-term care ombudsman, and the state health department complaint line. Here is when to use each.
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