In-home health care services are available for eligible New Yorkers.

Medicaid-eligible New Yorkers can get help through the CASA program. This is offered by the Home Care Services Program (HCSP).

To apply, you must be:

  • Not eligible for or enrolled in a Medicaid Managed Care Plan
  • Not eligible for or enrolled in a Managed Long Term Care Plan

Staff will:

  • Determine your eligibility
  • Determine the appropriate care
  • Develop a service plan

Based on your service plan, this care includes:

  • Housekeeping
  • Home attendants

You can also get information about Assisted Living Program (ALP) services. These are administered by New York State.

Determining Eligibility

Medicaid Specialists will determine your eligibility for Medicaid.

A NY Independent Assessor (NYIA) will determine your eligibility for services.

A NYIA will:

  • Review your medical condition(s)
  • Determine your level of care needs
  • Make a referral to a managed care plan or to the CASA program

The New York State Department of Health contracts IAs.


Learn more about the Home Care Services Program.

By Phone

  • Agency: New York State Department of Health
  • Division: New York Independent Assessor Line
  • Phone Number: (855) 222-8350
  • Business Hours: Monday - Friday: 8:30 AM - 8 PM; Saturday: 10 AM - 6 PM

Families with children may be eligible for home care services.

This includes:

  • Home care services for a child
  • Home care services for an adult who lives with a child

You may be eligible to get help if:

  • You are too ill to care for your child.
  • You are overwhelmed by caring for one ill member of the household and unable to properly care for your children.
  • You will be temporarily out of the home for an emergency (such as hospitalization), with no one to care for your family.
  • You need training in basic child and home management skills to reduce the risk of harm to your child.

Households with children under the age of 18 must take an assessment. This is the Administration for Children's Services (ACS) assessment.

It is the first step to receiving:

  • Medicaid-funded home care services
  • Information on the Consumer Directed Personal Assistance Program (CDPAP)

Depending on your needs, more services may be offered.


Learn more about home care services for households with children.

By Phone

Call 311 or 212-NEW-YORK (212-639-9675) for help.

Older Adults age 60 and older who need personal care or housekeeping services but aren't eligible for Medicaid home care services may be eligible for assistance. 

A local case management agency will assess your situation and determine if you qualify for home care services funded by the Department for the Aging (DFTA). They can also help you with any other questions about home care.

Assistance is also available if you are an older adult who is already receiving home care and you have questions about your service.

Learn more about home care services.

Find a case management agency.

Use Site Finder to search for a case management agency. You can contact them by phone. Leave a message with your contact information if no one answers. You will get a call back.

Depending on your address and situation, you may be advised to go to a different location.

New York City provides home care services for people living with AIDS or HIV, who are having difficulty with one or more activities of daily life, such as:

  • Walking
  • Preparing food
  • Cleaning
  • Bathing
  • Using the bathroom

Services include:

  • Cooking
  • Housekeeping
  • Shopping
  • Assistance with moving around
  • Personal hygiene
  • Toileting

Depending on need, you may also receive visiting nurse or other health care services in the home.


Get information about home care services for individuals with AIDS and HIV.

By Phone

  • Agency: Human Resources Administration
  • Phone Number: (718) 557-1399
  • Business Hours: Monday - Friday: 8 AM - 5 PM
  • You can reach staff during business hours (except for City Holidays). You can get help in most languages. Automated Assistance is available in English and Spanish, 24 hours a day, 7 days a week.

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