The Differences Between Managed Long-Term Care and Nursing Home Transition Diversion

Managed Long-Term Care (MLTC) and Nursing Home Transition and Diversion (NHTD) Waiver are both programs aimed at providing long-term care services to individuals, but they differ in their focus

Managed Long-Term Care (MLTC):

  • MLTC programs are designed to provide comprehensive long-term care services to individuals who are chronically ill or disabled and need health and long-term care services for more than 120 days. These programs are typically managed by private insurance companies or managed care organizations and aim to coordinate and integrate various health and long-term care services.

  • MLTC programs typically offer a wide range of services, including home health care, personal care, skilled nursing, therapy services, medical equipment and supplies, and other support services tailored to the individual's needs.

Nursing Home Transition and Diversion (NHTD) Waiver:

  • NHTD waivers specifically focus on helping individuals transition back to community-based settings or diverting them from entering nursing homes altogether. The emphasis is on providing support services and resources to enable individuals to live independently in their homes or community settings.

  • The waiver program provides various services to support individuals in transitioning from nursing homes. These may include home and community-based services such as personal care assistance, home modifications, assistive technology, respite care, transportation, and other supportive services aimed at maintaining individuals' independence in community settings.

While both MLTC and NHTD Waiver programs aim to provide long-term care services to individuals, they differ in their focus, target population, services provided, eligibility criteria, and administration. 

MLTC focuses on coordinating comprehensive long-term care services for individuals with chronic illnesses or disabilities, while NHTD waivers specifically target individuals transitioning from or diverting away from nursing homes to community-based settings.