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New York · Free Guides

Medicaid Home Care in New York, County by County

Everything a family needs to get a Medicaid home attendant in New York, organized the way people actually search: by borough or county, by plan, and by question. Facts last reviewed October 17, 2026.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. Eligibility and authorized hours are always determined by the state program and your plan.

Free 60-second eligibility check Call (929) 668-3300

Start with where you live

New York Medicaid home care runs through the same state process everywhere — Medicaid, the independent assessment, the plan’s authorization, a licensed agency — but which plans and agencies serve you depends on your county. Pick your borough or county: the Bronx, Brooklyn, Queens, Manhattan, Staten Island, Nassau County.

Or start with the plan

If your loved one is already in a Managed Long Term Care plan — Elderplan HomeFirst, Healthfirst, Fidelis Care at Home, VillageCareMAX, Senior Health Partners, MetroPlusHealth and others — the plan guide explains how home attendant hours are approved for members and how a licensed agency in the plan’s network, often with the caregiver you chose, delivers the care.

The one rule to know first

Someone you trust can often be hired as the paid, certified aide. By New York State rule, a spouse, parent, son, daughter, son-in-law or daughter-in-law cannot be the paid aide. A sibling, grandchild, niece or nephew, friend or neighbor often can. The question pages below cover who qualifies, how to get a home attendant in NYC, and the eligibility standard in effect since September 2025.

Questions

Questions about these guides

Are these guides for New York City only?
They cover the five boroughs and Nassau County, where our partner agencies serve today. If you live elsewhere in New York, take the free check anyway — we add areas as licensed agencies join, and we tell you honestly if we cannot help yet.
Is The Home Care Agency a home care agency?
No. We are a free enrollment matching service. We help families understand their Medicaid home care options and connect them with a licensed New York home care agency, which provides the aide, the training and the payroll. We are paid a flat marketing fee by the partner agency.

More New York guides

How this page is verified

Program facts were checked against official New York State and local government pages in a review completed October 17, 2026. We do not cite commercial websites, and we are not affiliated with any plan or agency named here. Program rules change; before making decisions, confirm with the program or ask us and we will help you check.

Check if your family qualifies — free

Answer a few questions and we connect you with a licensed, Medicaid-approved home care agency that serves your county. No cost, no obligation.

Start the 60-second check Call (929) 668-3300