Home Care/Long Term Care

Long Term Care Services refers to the wide range of in-home, community-based, and institutional services and programs that are designed to help the elderly and individuals with disabilities of all ages. These services can be medical and non-medical and can help people with activities of daily living (ADLs) such as dressing, bathing, and using the bathroom, and instrumental activities of daily living (IADLs) such as shopping, cleaning, laundry, and preparing meals. Learn more about long term care from the Long Term Care Options (in PDF).

The Home Care Services Program (HCSP) provides access to, or authorizes services for a variety of  Medicaid-funded long-term care programs designed to help eligible elderly or disabled individuals remain safely at home, rather than in a nursing home or other institution. In some cases, the Home Care Services Program will assess medical needs and determine the appropriate care required. Eligibility for Medicaid-funded home care programs varies among programs but all programs require that the applicant be Medicaid eligible.

Long Term Care Options:

  • Personal Care (Medicaid –Funded Home Care)- Home Attendant and Housekeeping services for individuals  having difficulty with at least one or more activities of daily life, such as walking, cooking, cleaning, bathing and using the bathroom. Individuals who are Medicaid eligible and otherwise exempt from Managed Long-Term Care or Managed Care should apply for service through your local CASA office (in PDF).
  • Managed Long-Term Care Program- case management, nursing, home health aides, home attendant services, physical therapists, for people who are Medicaid eligible, or eligible for both Medicaid and Medicare, and are medically eligible for long term care services.
  • Assisted Living Program- long term residential care, supervision, and home health care services.
  • Care-at-Home Program- medical and support services for severely disabled children who would otherwise be required to remain institutionalized.
  • Long Term Home Health Care Program- New York State mandates that all Long Term Home Health Care consumers who are mandatory to enroll in mainstream managed care or Managed Long Term Care.

THE STATE DEPARTMENT OF HEALTH HAS CHANGED THE WAY LONG TERM CARE SERVICES ARE DELIVERED. READ MORE ABOUT THE SIGNIFICANT CHANGES TO LONG TERM CARE SERVICES 

HRA’s Medical Insurance and Community Services Administration (MICSA) provides access to or authorizes service for a variety of long-term care programs. MICSA helps link New Yorkers to public health insurance and administers the Agency’s medically-related social service programs.  MICSA includes the Medical Assistance Program (MAP) and Home Care Services Program (HCSP).