“Funding for Managed Long-Term Care (MLTC), the Medicaid program that allows low-income seniors and people living with disabilities to receive care at home, is rewarding plans serving the healthiest populations while penalizing plans serving the most complex populations.” (Adi Talwar/City Limits) In New York, we have made a promise. We’ve said that older adults should be able to age with dignity, in their homes, in their communities, surrounded by the people and places they love.