Community Long Term (CLTC) operates home and community-based waiver programs for persons eligible for nursing home care but  who prefer to receive their services in the community.  Through a process of case management and an individualized service package, waiver clients are able to successfully remain at home at a cost to Medicaid that is substantially less than the cost of institutional care.

The CLTC program began statewide in 1983 after a three-year pilot program in the Upstate.

It was first established to meet the needs of the elderly or disabled person who was not able to care for himself or herself independently over a long period of time, perhaps for life.  Currently, CLTC administers and operates four Medicaid waiver programs; Community Choices waiver, HIV/AIDS Waiver, Ventilator Dependent Waiver, and Choice Waiver.

CLTC also administers three waivers that are operated by the Department of Disabilities and Special Needs; Head and Spinal Cord Injury (HASCI), Mental Retardation or Related Disabilities (MR/RD), and Pervasive Developmental Disorder (PDD).