Letters and Brochures

Make a selection to review or print:

Long-term Care Letter Name Long-term Care Letter Description Long-term Care Letter Code: Located at the Bottom Right Corner of Page 1 (Click Link to See a Copy of the Letter)
LTC Welcome - Mandatory - Full Eligible
If you have received this letter, it is because you have been approved for Medicaid and are required to enroll into a Long-term Care plan. It also informs you that if you do not choose a plan, one will be assigned to you. 1_101_LTC_WL_MAND-FE_v1pdf
LTC Welcome - Non-Fully Eligible
If you have received this letter, it is because you have applied for Medicaid but are not yet approved. It informs you that you may choose to enroll in a plan while you are waiting for your Medicaid approval to be determined by the Department of Children and Families. 1_102_LTC_WL_N_FE_v1pdf
LTC Reminder - Fully Eligible
If you have received this letter, it is because you must pick a Medicaid Long-term Care plan by a certain date or one will be assigned to you. 1_200 LTC_REM_FE v1pdf
LTC Confirmation - Fully Eligible
If you have received this letter, it is to confirm that you have asked to enroll yourself or other family members in to the Long-term Care plan listed. 1_300_LTC_CONF_FE_v1pdf
LTC Confirmation - Involuntary Disenrollment
If you have received this letter, it is because your enrollment in the plan listed on the letter has been cancelled. 1_402 LTC_DIS_INV v1pdf
LTC Confirmation - Involuntary Disenrollment (Death)
If you have received this letter, it is because the recipient has been disenrolled due to a date of death on file. 1_401 LTC_DIS_INV_DEA_v1pdf
LTC Confirmation - FE - Voluntary Disenrollment
If you have received this letter, it is because you asked to leave your current Long-term Care plan. 1_400 LTC_DIS_FE_VO_v1pdf
LTC Transfer - Mandatory - Region Switcher
If you have received this letter, it is because your address has changed. Because of this, you need to choose another plan. If you do not choose a plan, one will be assigned to you. 1_900_LTC RegSW_v1pdf
LTC Confirmation - Med Pending
If you have received this letter, this means that you have asked to enroll yourself or a family member in a Medicaid Long-term Care plan prior to receiving Medicaid coverage. Please remember by choosing to receive services now before Medicaid coverage is approved, if Medicaid coverage is denied you may be billed by the plan for services received. 1_300_LTC_CONF_MP_NFE_v1pdf
LTC Confirmation - Med Pending Withdrawal
If you have received this letter, it is because you have been counseled about your Long-term Care options and have asked to be disenrolled or to disenroll a family member from a Medicaid Long-term Care plan prior to being approved for Medicaid coverage. Please remember that if you choose not to receive services now before Medicaid approval, the following may still happen:
1) You may still be billed by the plan for services received if Medicaid coverage is denied.
2)You will not be able to enroll in any other plan until Medicaid coverage has been determined.
1_403_LTC_DIS_MED-P_VO_v1pdf
LTC Confirmation - Good Cause Approval
If you have received this letter, it is to confirm that you or your family member has been approved to change Long-term Care plan(s) using a Good Cause request. 1_500 LTC_GC APPRV_v1pdf
LTC Confirmation - Good Cause Denial
If you have received this letter, it is to confirm that your request to change plans outside of your Open Enrollment period has been denied. The request has been denied because it does not meet a state-approved Good Cause reason. 1_501 LTC_GC DENIAL_v1pdf
LTC Notification - Fully Eligible - Change Period
If you have received this letter, it is because either you or your family member has received Medicaid coverage. It also explains that if you choose to change plans, you will have 120 days to do so. 1_201_LTC_FE_ChPer_v1pdf
LTC Confirmation - Open Enrollment Plan Change
If you have received this letter, it is to confirm that you have asked to change plans for yourself or a family member during the Open Enrollment period. 1_302 LTC_CONF_OPEN_ENROL_v1pdf
LTC Reminder - Mandatory OpenEnrollment
If you have received this letter, it is because once a year during a special time called Open Enrollment you can choose to stay with your current Long-term care plan or pick a new one. You don’t have to make a change if you are happy with your current plan. 1_600 LTC_OE_REM_MAND_v1pdf
Long-term Care Document Title Long-term Care Brochure Description Click on the Icon(s) Below to See the Long-term Care Brochure & Inserts
Statewide Medicaid Managed Care Long-term Care (LTC) Services Brochure This is the Statewide Medicaid Managed Care – Long-term Care program brochure. It explains that managed care is a new way to receive services for your long-term care needs, including nursing home and in-home care services. It provides information about how to select a plan, the ways to enroll and important reference information.
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Long-term Care Frequently Asked Questions (FAQs) Insert This insert responds to frequently asked questions about the Statewide Medicaid Managed Care program and how to enroll in a Long-term Care plan. It explains things like: what is Open Enrollment and what happens to my plan if I move or my address changes.
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Long-term Care Benefits and Contact Information Brochure Insert You may access the Long-term Care Benefits Insert to the left to view the basic benefits provided by all plans, as well as the extra benefits that they each offer.

Note: You are advised to select your county to receive the most helpful plan extra benefits information for where you live. Click the following link to make your selections:

Archived Letters

Long-term Care Letter Name Long-term Care Letter Description Long-term Care Letter Code: Located at the Bottom Right Corner of Page 1 (Click Link to See a Copy of the Letter)
LTC Transition
If you have received this letter, it is because your current plan will serve in the Statewide Medicaid Managed Care Long-Term Care program. You may choose to stay in your current plan or use the three ways to enroll on the letter to select a new plan. 1_800_LTC_CARE_WIN_PLAN_TRANSITION_v1pdf
Disclaimer
The materials listed on this page are provided for informational purposes only and may be changed, or removed at any time without notice.