New York City Human Resources Administration/Department of Social Services' Home Care Services Program is responsible for Medicaid-funded non-institutional long-term care programs in New York City. Programs include the Personal Care Services Program, the Long Term Home Health Care Program, the Assisted Living Program, the Care at Home Program, and the Managed Long Term Care Program. Managed Long-Term Care (MLTC) assists people who are chronically ill or have disabilities and need health and long-term care services, such as home care or adult day care, stay in their homes and communities as long as possible. The MLTC plan arranges and pays for a large selection of health and social services, and provides choice and flexibility in obtaining needed services from one place. Certified Home Health Agencies (CHHAs) are the responsibility of New York State Department of Health (SDOH), not the City of New York. HCSP is responsible for transferring a client from a CHHA to personal care services when a CHHA so requests.

The Home Care Services Program provides services to Medicaid-eligible clients by assessing medical need and determining the appropriate care required. There are several types of home care services available including: Home Attendant, Housekeeper, Managed Long Term Care, Assisted Living Program, Care at Home Program and Long Term Home Health Care Program. Services are provided through contracts with Home Care agencies, while HCSP provides case management through its nine (9) Community Alternative Systems Agency (CASA) Offices. Services in the home are delivered by approximately 90 contracted provider agencies. Self-directing disabled individuals may choose to participate in the Consumer-Directed Personal Care Program, under which the client assumes responsibility for training and oversight of their attendant. For Personal Care Services information or to visit an office, see List of CASA Offices.

The Long Term Home Health Care Program (LTHHCP) is also known as the "nursing home without walls" program. Access to this program is available through SDOH-certified LTHHCP provider agencies. HCSP staff assesses the client’s service needs and authorize payment for the approved plan of care, including approving some special waiver services that are not ordinarily covered by Medicaid. HCSP is also responsible for review and approval of services for clients in the Assisted Living Program. For information on the Care At Home (CAH) Program, which provides certain medical and related services for severely disabled children who would otherwise be required to remain institutionalized, see Care At Home Program.

For additional information, see Medicaid-Funded Home Care Services (PDF)
visit one of our offices, or call:

General Home Care Services Program Information: (212) 360-5030

Long Term Home Health Care Program: (212) 860-3892

Managed Long Term Care Program: (212) 360-5388 

Home Care Complaint Line: (212) 896-5755