New York does not run a single combined waiver for assisted-living-style care the way some states do. Inside a licensed community, the relevant program is the Assisted Living Program (ALP) under 18 NYCRR Part 494; in the community, it is Managed Long Term Care (MLTC) or the NHTD waiver.
Assisted Living Program (ALP)
ALP is Medicaid-funded and available only inside a qualifying Adult Home or Enriched Housing Program setting. It covers personal care, room and board, housekeeping, home health aides, personal emergency response systems, nursing, physical/occupational/speech therapy, medical supplies, adult day health care and RN case management -- but not every Adult Care Facility offers it, and not every ALP bed is available when a family needs one.
What it does not cover
ALP folds room and board into its rate structure differently than a pure HCBS waiver would; confirm directly with any community what portion of the monthly cost ALP actually offsets versus what remains a private-pay responsibility.
The community-based alternative
For care delivered at home rather than inside a licensed community, Managed Long Term Care (MLTC) or the Nursing Home Transition and Diversion (NHTD) waiver are the relevant Medicaid pathways -- see "How families pay for care" for the full explanation.
Source: NYSDOH Assisted Living Program
