Managed Long Term Care Workforce Investment Program

The MRT Waiver Amendment, approved in April 2014 by the Centers for Medicare and Medicaid Services (CMS) to amend the State´s 1115 waiver, makes available up to $245 million through March 2020 for initiatives to retrain, recruit and retain healthcare workers in the long–term care sector. This initiative is being referred to as the Workforce Investment Program.

Workforce Investment Program will target direct care workers, with the goals of supporting the critical long term healthcare workforce infrastructure through retraining, redeployment, and enhancing skillsets.

Through the Workforce Investment Program, the Department of Health (DOH) will require MLTC plans, which include Fully Integrated Dual Advantage (FIDA) plans (collectively MLTC/ FIDA plans), to contract with DOH–designated workforce training centers, to:

  • Invest in initiatives to attract, recruit and retain long term care workers in the areas they serve;
  • Develop plans to address reductions in health disparities by focusing on the placement of long–term care workers in medically underserved communities;
  • Consistently analyze the changing training and employment needs of the area that the program serves;
  • Provide for broad participation and input from stakeholders; and
  • Support the expansion of home care and respite care, enabling those in need of long–term care to remain in their homes and communities and reduce New York´s Medicaid costs associated with long–term care.

This application form should be used by organizations interested in the Long Term Care Workforce Investment Organization (LTC WIO) designation, seeking consideration to participate in the Managed Long Term Care Workforce Investment Program. Participation is open to all eligible applicants statewide. Submissions are due by 3PM August 28, 2017. Announcements are expected to be made September 28, 2017, however, all further dates are subject to change. Any questions concerning the application process should be directed to the Office of Health Insurance Programs, Division of Long Term Care by e-mail at

This application is a DRAFT for public comment, as required by the 1115 waiver language. The comment period will close on July 28, 2017. A final document will be posted by August 4, 2017.

October 18, 2017

Dear Partners,

This notice is to inform you that the announcement of the Long Term Care Workforce Investment Organization (LTC WIO) awardees has been postponed to Friday, October 27th. The Department continues to review applications and is soliciting additional feedback as necessary. We thank you for all of the hard work that went into creating such thoughtful and informative applications.

Please continue to refer any questions to

LTC WIO & Plan Agreement*:

      *Deadline for submission extended to close of business February 2, 2018.

Please keep in mind that these are to be considered a framework, which includes the minimum criteria for an acceptable agreement.

Please submit any comments, questions, or concerns to