HHH Choices Health Plan, LLC is a New York-based managed long-term care plan (MLTCP) formed in 2006 as a wholly owned subsidiary of HHCS, Inc., a New York not-for-profit corporation. The company served chronically ill and disabled Medicaid beneficiaries with coordinated long-term care services enabling them to remain in their homes or communities rather than institutional settings. Revenues derived almost entirely from New York State Medicaid capitation payments, with healthcare claims comprising 80–90% of operating costs.