Assisted Living Program

An Assisted Living Program (ALP) serves persons who are medically eligible for nursing-home placement but serves them in a less-medically-intensive, lower-cost setting. ALPs provide personal care, room, board, housekeeping, supervision, home-health aides, personal emergency response services, nursing, physical therapy, occupational therapy, speech therapy, medical supplies and equipment, adult-day health care, a range of home- health services, and the case-management services of a registered professional nurse. To be eligible, both Medicaid recipients and private payers must be medically eligible for, and would otherwise require, placement in a nursing home due to the lack of a home or suitable home environment. However, eligible ALP residents must not require continual nursing care, be chronically bedfast or chairfast, or be impaired to the degree that they endanger the safety of other ALP residents.

ALP eligibility requires that applicants qualify under the financial limits for Medicaid community services. It is not necessary for persons to qualify under the more complex and punitive rules for Medicaid nursing-home eligibility. An applicant with income in excess of the allowed monthly Medicaid rate may use a pooled-income trust to enhance his or her budget. The following is a partial list of New York State approved ALP providers in the New York City metropolitan area: Village at 46th & 10th, 510 West 46 Street, Manhattan, (212) 977-4600; Lott Residence, 1261 Fifth Avenue, Manhattan, (212) 534-6464; Boulevard ALP, 71-61 159 Street, Flushing, (718) 969-8102; Amber Court of Brooklyn, 650 East 104 Street, Brooklyn, (718) 649-0700; Westchester Center for Independent Living, 78 Stratton Street South, Yonkers, (914) 787-7400. Note that the number of facilities offering this program is expanding throughout New York State.

ALPs are regulated by the New York State Department of Health.  The regulations require that the appropriateness of ALP services be determined by initial and periodic reassessments provided by the ALP. Facility operators are required to provide sufficient staff to perform case-management functions for assisted-living residents and to ensure their health, safety, and well-being. ALPs are required to provide a staffing plan for review by the Department of Health.

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