MLTC Home Care in Monroe County: How to Choose the Right Agency

If an older parent in Rochester or anywhere in Monroe County needs help at home, a Managed Long Term Care (MLTC) plan is often how Medicaid pays for it. Understanding what the plan covers, and how to pick the agency that sends the aide, makes the whole process calmer. Here is a practical guide.

What MLTC covers

MLTC plans serve Medicaid members who need long-term help at home. Depending on the assessment, a plan can cover personal care aides, home health aides, some nursing visits and other services in the plan of care. Since September 2025, new MLTC enrollees must meet minimum-needs rules for help with daily activities, so the assessment matters.

How to choose a home care agency in your plan

• Network first: ask your MLTC plan for its list of contracted home care agencies in Monroe County.
• Licence and county: confirm the agency is licensed to provide home care in your county.
• Aide matching: ask how the agency matches aides to schedules, language and personality, and what happens if the match is not right.
• Coverage: ask how call-outs are covered, especially on weekends and snow days.
• Supervision: ask who checks in on the aide and how often a nurse reviews the plan of care.

Preparing for the assessment

Write down what help is needed hour by hour on a typical day: getting up, bathing, meals, medications, toileting, evenings. Have the medication list and doctors’ names ready. Families who can describe a real day usually get a plan of care that fits it.

Where Priority Cares fits

Priority Cares Home Services is licensed for home care in Chemung, Genesee, Livingston, Monroe and Ontario counties and works with families in Rochester and the surrounding towns. We help with the MLTC steps and match aides to your family’s schedule.

This content is for informational purposes only and is not medical advice. Please talk with your doctor or care team about your own situation.

Frequently Asked Questions

Does Priority Cares provide home care aides in Monroe County?

Yes. Priority Cares Home Services is licensed for home care in Chemung, Genesee, Livingston, Monroe and Ontario counties, and can help you through the Medicaid and MLTC steps there.

How do I know what my MLTC plan covers?

Ask the plan for your current plan of care and the number of approved hours, and call member services with specific questions such as help with bathing, dressing or meals.

Can I change home care agencies without changing MLTC plans?

Often yes, if the new agency is in your plan’s network. Call the plan first and ask how the switch works so there is no gap in care.

What if I live in New York City?

In New York City, Priority Cares provides NHTD and TBI waiver services rather than aide hours. We can explain the difference and point you to the right next step.

For a free care consultation in Rochester or Monroe County, call (585) 444-9245 or visit prioritycareshs.com/contact.