Medicaid Home Care in New York: Local Services That Come to You

If you or a loved one is asking where to get Medicaid Home Care in New York, the answer is simple: Home Care Medicaid NY delivers professional, state-approved home care services directly to your door whether you live in a Bronx walk-up, a Queens co-op, a Brooklyn brownstone, a Staten Island home, or a high-rise apartment in Manhattan. We serve all five New York City boroughs, plus Westchester County and Long Island communities including Nassau and Suffolk Counties.

Medicaid Home Care in New York is a benefit available to eligible New Yorkers that covers personal care, home health aide (HHA) services, and skilled nursing at no out-of-pocket cost when you qualify. Our team helps families navigate New York State’s Medicaid system every single day, turning a confusing process into a clear path to real support.

If you are caring for an aging parent in Flushing, managing a chronic illness in the South Bronx, or supporting a family member with a disability in East New York, this page explains exactly how Medicaid home care works here and how to get started today.

Why New York Residents Have Unique Home Care Needs

New York is unlike any other state in the country when it comes to home care and that is not just a talking point. The city’s density, cost of living, and diverse population create specific challenges that only a locally experienced agency truly understands.

• Housing complexity: Millions of New Yorkers live in multi-story buildings without elevators, narrow railroad apartments, or shared housing arrangements in neighborhoods like Washington Heights, Sunset Park, and Astoria. Our aides are experienced navigating these environments safely and respectfully.
• Linguistic diversity: New York City is home to speakers of more than 200 languages. We match clients with aides who speak Spanish, Mandarin, Cantonese, Russian, Haitian Creole, Bengali, Punjabi, Korean, Arabic, and more a critical factor in communities like Flushing, Brighton Beach, Jackson Heights, and Flatbush.
• Medicaid managed care complexity: New York State operates Medicaid through several managed care plans — including HealthFirst, MetroPlus, Fidelis Care, UnitedHealthcare Community Plan, Molina Healthcare, and others — each with its own authorization procedures. Knowing which plan a client is enrolled in, and how to work within that plan’s system, is essential to getting care approved and started quickly.
• CDPAP program availability: New York’s Consumer Directed Personal Assistance Program (CDPAP) is one of the most robust self-directed home care programs in the nation. Many New York families especially in immigrant communities across Brooklyn and Queens prefer to hire a trusted family member as a paid caregiver. We help families determine eligibility and enroll in CDPAP or traditional home care, whichever fits best.
• High cost of facility care: Nursing home costs in the New York metro area routinely exceed $15,000 per month. Medicaid home care keeps seniors and people with disabilities at home where they want to be while dramatically reducing costs for families and the state Medicaid system alike.

How We Deliver Medicaid Home Care Locally in New York

Home Care Medicaid NY is not a national call center handing your case to a stranger. We have care coordinators embedded in the communities we serve, with direct knowledge of local Medicaid offices, hospital discharge planning teams, and community-based organizations across the five boroughs.

Here is how our local process works from day one:

• Step 1 — Free eligibility screening: We review your household income, immigration status, residency, and functional needs to determine whether you or your loved one qualifies for Medicaid home care under New York State guidelines. This screening is completely free, with no obligation.
• Step 2 — Medicaid enrollment assistance: If you are not yet enrolled in Medicaid, our team guides you through the NYC Human Resources Administration (HRA) process or the NY State of Health marketplace, depending on your situation. We know which Medicaid service centers in Brooklyn, the Bronx, and Queens move fastest and what documentation you will need.
• Step 3 — Assessment and authorization: New York Medicaid requires a clinical assessment typically a UAS-NY (Uniform Assessment System) evaluation to determine the number of approved home care hours. We coordinate directly with your managed care plan to schedule this assessment and advocate for the hours your loved one genuinely needs.
• Step 4 — Aide matching: We carefully match each client with a certified Home Health Aide or Personal Care Aide based on language, personality, schedule, and specific care needs not just geographic availability.
• Step 5 — Ongoing support: Our supervisors conduct regular visits and stay in close contact with clients and families. If a client’s condition changes for example, following a hospital discharge from NYU Langone, Montefiore Medical Center, Kings County Hospital, or Elmhurst Hospital we adjust the care plan promptly.

Medicaid Home Care New York: Areas We Serve

Home Care Medicaid NY proudly serves clients across the following communities. This list reflects where our aides actively work not just counties we claim on paper.

Manhattan

• Washington Heights & Inwood
• Harlem & East Harlem (El Barrio)
• Upper West Side & Upper East Side
• Midtown, Chelsea, and Lower Manhattan
• Chinatown & the Lower East Side

The Bronx

• South Bronx (Mott Haven, Hunts Point)
• Fordham, Bedford Park, Norwood
• Riverdale & Kingsbridge
• Morris Park & Pelham Parkway
• Co-op City & Throggs Neck

Brooklyn

• Flatbush, East Flatbush & Crown Heights
• Sunset Park & Bay Ridge
• Bushwick, Brownsville & East New York
• Borough Park & Bensonhurst
• Brighton Beach & Sheepshead Bay
• Canarsie & Flatlands

Queens

• Flushing & Whitestone
• Jackson Heights, Elmhurst & Corona
• Jamaica & Hollis
• Astoria & Long Island City
• Richmond Hill & South Ozone Park
• Far Rockaway & Howard Beach

Staten Island

• St. George & New Brighton
• Stapleton & Tompkinsville
• Great Kills, Tottenville & Eltingville

Westchester County

• Yonkers, Mount Vernon & New Rochelle
• White Plains, Peekskill & Port Chester

Long Island (Nassau & Suffolk Counties)

• Hempstead, Freeport & Valley Stream
• Brentwood, Central Islip & Wyandanch

Not sure if we serve your neighborhood? Call us if we cannot help directly, we will point you to the right resource in your community at no charge.

What Types of Medicaid Home Care Services Are Available in New York?

New York State offers some of the most comprehensive Medicaid home care benefits in the United States. Depending on your managed care plan, level of need, and eligibility, covered services may include:

• Personal Care Aide (PCA) Services: Help with bathing, grooming, dressing, meal preparation, light housekeeping, and medication reminders for clients who need assistance with Activities of Daily Living (ADLs).
• Home Health Aide (HHA) Services: All personal care tasks plus vital sign monitoring, range-of-motion exercises, and limited health-related tasks under a licensed nurse’s supervision.
• Skilled Nursing Visits: Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) visiting the home to perform wound care, medication management, IV therapy, and chronic disease monitoring — often coordinated following a hospital discharge.
• Physical, Occupational, and Speech Therapy: In-home rehabilitation services covered under Medicaid for eligible clients recovering from stroke, hip replacement, or other conditions a common need near major trauma centers like Jacobi Medical Center in the Bronx or Jamaica Hospital in Queens.
• CDPAP (Consumer Directed Personal Assistance Program): A uniquely New York Medicaid benefit allowing eligible recipients to hire and direct their own caregiver including certain family members who is paid by Medicaid through a Fiscal Intermediary (FI).

New York Medicaid Home Care: Who Qualifies?

To receive Medicaid home care benefits in New York, a person generally must meet three criteria:

• Medical need: A physician must certify that the individual has a medical condition or functional limitation requiring home care assistance with ADLs or skilled nursing tasks.
• Medicaid eligibility: The individual must be enrolled in New York Medicaid (or eligible to enroll). In 2025–2026, New York has expanded Medicaid eligibility for many groups, including seniors, people with disabilities, and families with low to moderate incomes. Immigration status rules vary — many long-term New York residents who are not citizens may still qualify for certain benefits.
• Residence in New York State: The individual must reside in New York and intend to remain. Services are delivered in the home not in a facility.

Even if you are unsure whether your loved one qualifies, call us. We conduct free, no-pressure eligibility screenings every day for families across New York City and the surrounding region.

Frequently Asked Questions About Medicaid Home Care in New York

Can a family member be paid as a caregiver under New York Medicaid?

Yes, New York’s CDPAP program is one of the few Medicaid programs in the country that allows eligible recipients to hire a family member (including, in many cases, an adult child or sibling) as their paid home caregiver. The caregiver does not need a formal healthcare license. The Medicaid recipient must be able to direct their own care or have a designated representative do so on their behalf. Spouses and legal guardians of minor children are currently excluded from serving as paid CDPAP caregivers. We help families determine CDPAP eligibility and connect them with a qualified Fiscal Intermediary to manage payroll and compliance.

How many hours of home care will New York Medicaid cover?

The number of covered hours is determined by a clinical assessment using the UAS-NY tool, conducted by a nurse evaluator assigned through your Medicaid managed care plan. Hours are based on the individual’s functional limitations how much help they need with bathing, dressing, mobility, meals, and other daily activities. In New York City, it is not unusual for clients with significant needs to receive 12, 16, or even 24 hours of daily coverage. There is no fixed statewide cap; the authorization reflects the assessed level of need. If you believe the hours authorized are insufficient, you have the right to appeal, and our team can help you navigate that process.

How long does it take to start Medicaid home care in New York after applying?

The timeline depends on your current Medicaid enrollment status and your managed care plan. For someone already enrolled in a New York Medicaid managed care plan, the process from initial assessment to first aide visit typically takes two to six weeks, though urgent situations such as a hospital discharge from facilities like Bellevue Hospital or North Shore University Hospital can sometimes be expedited. If Medicaid enrollment itself is needed first, the process can take an additional four to six weeks, depending on document completion and HRA processing times. Our coordinators work proactively to reduce delays at every stage.

Start Your Medicaid Home Care Journey in New York Today

Your family deserves care that is compassionate, culturally appropriate, and professionally delivered without the burden of confusing paperwork or long waits. Home Care Medicaid NY has helped thousands of New York families access the Medicaid home care benefits they are entitled to, in neighborhoods from Co-op City to Canarsie, from Jackson Heights to Tottenville.

There is no cost to call, no obligation to continue, and no question too small. Our multilingual care coordinators are ready to listen, answer your questions honestly, and help you take the next step.

Call Home Care Medicaid NY today to schedule your free eligibility screening or fill out our online contact form and a coordinator will reach out within one business day. Getting the care your loved one needs starts with a single conversation and we are here to have it with you.