See a complete list of who does not have to join a Long Term Care Plan.
The following people are not required to join a Long Term Care Plan. They may join a plan if they want:
- American Indian/Alaskan Native
- Adults age 18–20 who need more than 120 days of community-based long term care
- Adults who are nursing home eligible and enrolled in the Medicaid Program for the working disabled.
People receiving the following services cannot join a Long Term Care Plan. In some cases, you may leave your program to join a plan.
- People enrolled in an Assisted Living Program
- People enrolled in the Traumatic Brain Injury (TBI) or the Nursing Home Transition & Diversion programs
- People receiving hospice services or who are residents of a psychiatric or residential care facility or nursing home
- People who have a developmental disability and receiving care in a facility, in the community or through a waiver program.
- People who live in Family Care Homes licensed by the Office of Mental Health
- Residents of alcohol and drug abuse residential treatment programs
- People who have Medicaid eligibility only for tuberculosis-related services
- People who are uninsured and receiving breast and cervical cancer services and those who are under age 65 and eligible for the early detection program
- People who have Medicaid eligibility only for breast and cervical cancer services
- People who are eligible for family planning expansion program
- People with less than 6 months of Medicaid eligibility or eligible for emergency Medicaid only
(Long term care customer services)
Monday - Friday
8:30 a.m. - 8:00 p.m.
10:00 a.m. - 6:00 p.m.
Have questions? We’re here to help. Our counselors will be glad to answer your questions. We can also help you choose a plan over the phone. All languages are spoken.