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Getting home care in Westchester: a plain guide

Free help with Medicaid and MLTC, and a connection to a licensed home care agency.

Priority Cares doesn't provide home care or waiver services in Westchester. What we can do is save you time: explain how Medicaid home care works, help you get ready for each step, and connect you with a licensed home care agency.

Free Medicaid & MLTC guidance
Connections to licensed home care agencies

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Getting home care hours through Medicaid in Westchester

In Westchester, you apply for Medicaid through the County Department of Social Services. After that, the steps are the same across New York.

01

Get Medicaid in place

In New York City, most older adults and people with disabilities apply through the NYC Human Resources Administration (HRA); some people apply through NY State of Health instead. Outside the city, you apply through your county Department of Social Services. If you are unsure which applies, ask us and we will walk through it with you.

02

Book the NYIA assessment

Before Medicaid approves long-term home care, the New York Independent Assessor (NYIA) does a nurse assessment and a short clinical appointment. You schedule it through New York Medicaid Choice. It replaced the old CFEEC process.

03

Choose a Managed Long-Term Care (MLTC) plan

If you also have Medicare and need care for more than 120 days, you will usually join an MLTC plan. Compare plans on the home care agencies they work with near you, languages, and how quickly they assess new members.

04

The plan authorizes hours

The plan does its own assessment, sets a care plan and hours, and sends a licensed home care agency from its network. We can help you prepare for that visit and follow up if hours seem too low.

Need personal care or home health aide hours?

We are not the agency that sends aides in Westchester. We will connect you with a licensed home care agency and help you through the Medicaid and MLTC steps, so the hours you are approved for actually start.

What is the difference? A personal care aide (PCA) helps with bathing, dressing, meals, light housekeeping and getting around. A home health aide (HHA) has more training and can also help with some health-related tasks under a nurse's supervision. Your plan's assessment decides which one, and how many hours.

Questions worth asking any home care agency:

  • Is the agency licensed by the NYS Department of Health for your county? You can check on NYS Health Profiles.
  • Does it work with your MLTC plan?
  • Can it match an aide who speaks your family's language?
  • Who covers the shift if the regular aide is sick, and how fast?
  • How often does a supervising nurse visit, and who do you call with a concern?

NHTD or TBI waiver in Westchester

Priority Cares is not approved for the NHTD or TBI waiver in Westchester. The Regional Resource Development Center (RRDC) that serves Westchester can connect you with approved providers, and we are happy to explain how the waivers work before you call them.

Common questions

No. We are not licensed for home care in Westchester and are not an approved waiver provider there. We can give you free guidance on Medicaid and MLTC and connect you with a licensed home care agency.

Apply for Medicaid through the Westchester County Department of Social Services, then book the New York Independent Assessor (NYIA) assessment through New York Medicaid Choice. If you need long-term care, you will usually choose an MLTC plan next.

Priority Cares is not approved for either waiver in Westchester. The Regional Resource Development Center (RRDC) that serves Westchester can connect you with approved providers.

An MLTC plan assesses your needs, authorizes home care hours, and sends a licensed home care agency from its network. You can compare plans on the agencies they work with near you.

Questions about home care in Westchester?

Tell us where things stand and we will point you to the next step.

Talk to us → or call (718) 400-6166