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In-Home Care Options for New York Residents

It can be difficult to convince your parents or loved ones that they need in-home care. Some seniors may not realize the benefits, such as increased independence or the ability to age in place. Yet others are hesitant to have a stranger come into their home. Many also worry about paying for home care and if it will be a financial burden.

Fortunately, New York state has several options that put seniors and their families in control of their at-home care. Seniors can choose their own aide through the Consumer Directed Personal Assistance Program (CDPAP). Alternatively, they can work with a state-approved agency that will match them with a trained aide.

Consumer Directed Personal Assistance Program (CDPAP)

New York's CDPAP allows seniors to select their own paid in-home caregiver. This allows them to choose someone they already know, such as a family member or friend.

For many families, CDPAP enables adult children and other relatives to not have to choose between earning a living and caring for their elders. Seniors have peace of mind knowing that they will receive the care they need, right at home, without feeling like a burden.

CDPAP Eligibility Requirements

Seniors may opt for in-home care under CDPAP if they:

  • Are eligible for Medicaid
  • Need help with daily activities
  • Can direct their own care

Seniors can choose any caregiver who is 18 years of age or older. Caregivers may live in the same household, but this is not a requirement. Under CDPAP, there are two people who cannot be a caregiver: the senior's spouse or their designated representative. Elite Choice is a fiscal intermediary for CDPAP. Seniors choose their caregivers and direct their care. Additionally, we handle the paperwork and payroll.

While this program is the right choice for some seniors, it's not an option for all families. Not everyone has the capability to provide at-home care for a loved one, and that is nothing to feel guilty about. Some seniors don't have relatives that live close by. In these circumstances, a home health agency may be the right choice. 

Home Health Care Agencies That Provide In-Home Care

In New York, state law requires all organizations that provide in-home care to either be a Certified Home Health Agency or a Licensed Home Care Services Agency. One difference between the two types of agencies is what types of payment they accept. 

  • A Certified Home Health Agency accepts Medicare, Medicaid, private payment, and commercial health insurance.
  • A Licensed Home Care Services Agency accepts private payment and private insurance. These agencies may also provide services to Medicare and Medicaid beneficiaries if those cases are managed by a third-party provider or entity.

Depending on your loved one's needs, these agencies will match them with either a Personal Care Aide or a Home Health Aide. It is normal to be hesitant about letting someone else provide care for your loved one. When choosing a home care agency, don't be afraid to ask questions.

  • What type of training do your aides receive? Is there ongoing education?
  • Does your agency perform background checks? What about drug testing?
  • What will you take into consideration when choosing the right at-home caregiver for my loved one?
  • Who can I contact if I have concerns or questions?

In addition, the New York State Home Care Registry provides some limited information about home caregivers who have completed a state-approved program.

Your In-Home Care, Your Choices

Elite Home Care provides at-home care throughout New York state. Indeed, we know that each senior's situation is unique. That's why we offer a free consultation where you can ask questions and learn about your payment options. Contact us today to learn more. 


Written by: Leah Ganz