It's Your Money NYC: Hold Your Government Accountable

Funding for '09

$5,666,612,000

Employees

784

Who funds this program?

City

5,494,381,000 (97%)

State

101,640,000 (2%)

Federal

70,590,000 (1%)

How is the money spent?

Salaries

36,874,000 (1%)

Contractual Services

256,180,000 (5%)

Other Services

5,351,214,000 (95%)

What your money funds:

This program is responsible for providing medical and health-related services to people with limited income and who are Medicaid eligible. The Home Care Services Program (HCSP) offers access to Medicaid-funded long-term care programs designed to help eligible elderly or disabled individuals remain safely. As of January 2009, there were approximately an approximately total of 84,000 people receiving some level of services through this program.

1. Medicaid-Funded Home Care: Home attendant and housekeeping services for people having difficulty with at least one or more activities of daily life, such as walking, cooking, cleaning, bathing and using the bathroom. As of January 2009, there were approximately 47,000 people enrolled in this program.
2. Long-Term Home Health Care Program [http://www.nyc.gov/html/hra/html/directory/long_term_home_care.shtml]: Home care, case management, and skilled services for people requiring a higher level of care (skilled nursing home-level care at home). Services include case management by RN, home delivered or congregate meals, housing improvements and moving assistance, respiratory therapy, medical social services, nutrition and dietary services, and respite care, social day care and social transportation. As of January 2009, there were approximately 14,000 enrollees in this program.
3. The Managed Long-Term Care program (MLTC): Assists people aged 55 and above who are Medicaid-eligible, or eligible for both Medicaid and Medicare, and who are chronically ill or disabled, need health and long-term care services, and who are eligible for admission to nursing homes, but choose to stay in their homes and communities as long as possible. Plan offerings vary by client's age and geography. Services may include nursing, therapy, physical therapy, transportation, optometry, dentistry, speech pathology and social day care. A person can access services by contacting the MLTC plan directly. Referrals to the plan may be received from a physician, another health care provider, or HCSP. The HCSP then determines Medicaid eligibility and reviews the appropriateness of the enrollment. As of January 2009, there were 23,000 enrollees in this program.
4. Care-at-Home Program [http://www.nyc.gov/html/hra/html/directory/care_at_home_program.shtml]: medical and related services for severely disabled children who would otherwise be required to remain institutionalized.
5. Adult Protective Services [http://www.nyc.gov/html/hra/html/directory/adult.shtml]: state-mandated case management program that arranges for services and support for physically and/or mentally impaired adults who are at risk of harm and have no one who can responsibly assist them.