Monroe County home care › How it works
How it worksFrom Medicaid to your first aide visit, in five steps
Monroe County decides eligibility and hours. We help you through each step and then provide the care.

What happens, and who does it
Already approved by the county? Skip to step 3: tell your caseworker you choose Priority Cares, then call us.
Have active Medicaid
If you do not have Medicaid yet, apply first. Age 65+ or disabled: Monroe County, (585) 753-6960. Under 65: NY State of Health, (855) 355-5777. Not sure? Call us and we will point you to the right place.
You (we can point the way)Get assessed
The New York Independent Assessor does a community health assessment and a clinical appointment to see how much help you need at home. For fee-for-service Medicaid, Monroe County's Home Care Services Unit ((585) 753-6445) can tell you how to get this started.
New York Independent AssessorMonroe County approves your care and you choose your agency
The county decides the type and hours of care and gives you its list of personal care agencies. Tell your caseworker you choose Priority Cares Home Services, then call us.
Monroe County DHS + youOur nurse visits and we plan your care together
A Priority Cares nurse visits you at home, and we build your plan of care around your routine, your home and the hours the county approved.
Priority CaresYour aide starts
We match you with an aide for bathing, dressing, meals, getting around safely and light housework. Your Rochester coordinator is one phone call away for schedule changes or questions.
Priority Cares
Already have personal care through another agency and want to switch? Talk to your caseworker and call us; we will explain how a change works.
Not sure where you are in the process?
That is okay. Call our Rochester office, Monday to Friday, 9:00 AM to 5:00 PM, and we will walk you through it.