- Glossary

• LRR
  Legally Responsible Relative - For purposes of Medicaid eligibility, "[a] relative who, by law, is responsible for the support and care of another person. In New York State, spouses are responsible for each other and parents are responsible for their children under 21."  See Medicaid Reference Guide, Glossary, at xi.
  
• LTHHCP
  Long Term Home Health Care Program - AKA Lombardi waiver or nursing home without walls.  A Medicaid wavier program which provides a nursing home alternative to patients requiring that level of care. It includes coverage of case management by registered nurses, home delivered meals, home improvements, respiratory therapy, medical, social, nutritional and dietary services, and respite care. See DOH website on LTHHCP.
• Look-back period
  The length of the period for which asset documentation is required when applying for Medicaid coverage of nursing home care.  For nursing home Medicaid applications between now and February 2011, the look-back period extends back to February 1, 2006.  From February 2011 onward, the look-back period will be 60 months long.  Medicaid will impose a transfer penalty based on the amount of uncompensated transfers identified within the look-back period.
  
• LTC
  Long-Term Care - health-related services provided to a person with disabilities that assist that person in completing activities of daily living and/or maintaining maximum functioning.  Includes both community-based long-term care (see CBLTC) and facility-based (e.g., nursing home, assisted living residence).