For those who qualify financially, New York’s Medicaid program will pay for long-term care for elderly or disabled folks who require a certain level of medical care and personal care.
Home health care can include skilled nursing or therapy services, home health aide services like medication management or bathing assistance, and personal care aide services like meal preparation or cleaning.
New Yorks’ managed care programs Program for All-Inclusive Care for the Elderly (PACE) and Managed Long-Term Care (MLTC) both offer home health services as part of their benefit package, so if you are a participant in those programs, you can receive assistance from skilled nurses, home health aides, or personal care attendants in your home, as long as your doctor or care coordinator has authorized those services for you according to the requirements in your particular managed care plan. (Read more about these programs in the first part of this article on New York Medicaid managed care programs.)
In addition, New York offers personal care assistance to Medicaid beneficiaries through its Personal Care Services Program (PCSP). PCSP covers assistance with in-home activities like housekeeping, bathing, using the toilet, and preparing meals. Your doctor must send a physician’s order to your local social services district, and then a nurse assessor will visit your home and interview you about your activities of daily living and your need for assistance. The assessor will decide what kind and how much assistance you need. Generally, your local social services district selects the agency that will provide services to you.
Another way to get personal care assistance is through New York’s Consumer Directed Personal Assistance Program (CDPAP), where a friend or family member can be compensated for taking care of their loved one. However, in CDPAP, you get to select, train, supervise, and fire (if necessary) your own service provider(s). In addition, CDPAP will cover skilled nursing services in your home, not just personal care services.
Medicare pays for you to get certain health care services in your home if you meet certain eligibility criteria and if the services are considered reasonable and necessary for the treatment of your illness or injury. This is known as the Medicare home health benefit.
Medicare pays for your covered home health services for as long as you’re eligible and your doctor certifies you need them. Hour and day limits may be extended in exceptional circumstances when your doctor can predict when your need for care will end.
We help families by taking time to understand their loved one’s needs and then customizing a care solution for their budget. We accept private insurances / private pay and provide In-Home consultation. A complimentary initial assessment visit is completed by a Registered Nurse, to assist in developing the plan of care, specific to the individual’s situation.
We help families by taking time to understand their loved one’s needs and then customizing a care solution for their budget. We accept private insurances / private pay and provide In-Home consultation. A complimentary initial assessment visit is completed by a Registered Nurse, to assist in developing the plan of care, specific to the individual’s situation.
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