The NYC Medicaid Home Care Services Program, which is part of the NYC Human Resources Administration Medical Insurance Community Services Administration (MICSA), also known as the Medicaid program, formerly was responsible for administration in NYC for three types of Medicaid "personal care" services -- home attendant, housekeeping, and Consumer Directed Personal Care Services. (CDPAP).
See this official HRA list of CASA offices, now only one in each borough. (Note that the Brooklyn CASA moved in late March 2018 from 88 Third Avenue to 404 Pine Street, 3rd Floor, Brooklyn, NY 11208. It reportedly will move again to Schemerhorn Street later in 2018)
Until September 2012, anyone who needed any of these 3 types of home care services would apply to the "CASA" office based in each borough. The CASA offices processed both the Medicaid application and the request for home care.
As of November 2012, the main way for adults over age 21 who have MEDICARE to apply for Medicaid home care is to first apply for MEDICAID at:
and then obtain a Conflict Free eligibility evaluation from NY Medicaid Choice, and tehn enroll in a Managed Long Term Care plan.
OTHER EXCEPTIONS to the MLTC REQUIREMENT - Who else may request Personal care or CDPAP from the HRA Home Care Services Program instead of Enrolling in an MLTC?
HOUSEKEEPING - The Home Care Services program still accepts M11qs/ applications for people who SOLELY need Medicaid HOUSEKEEPING services and no personal care. These services are limited to 8 hours/week and provide assistance with shopping, cooking, cleaning, laundry and other household chores when needed because of disability. They do not provide assistance with "activities of daily living" such as bathing, dressing, ambulation, toileting or transfer. See MLTC Policy 13.21: Process Issues Involving the Definition of Community Based Long Term Care and this MICSA ALERT
Adult Medicare beneficiaries who are enrolled in a hospice benefit, or
Adults who have waiver services through the Traumatic Brain Injury (TBI) or Nursing Home Transition & DIversion Waiver program, or are in the OPWDD waiver
Are under 21 years old, though those who are age 18-21 and don't have Medicare have the option of applying to the CASA offices or enrolling in a Managed Long Term Care plan, if their functional needs are extensive enough that they would otherwise qualify for nursing home care.
See this article for tips on applying for Medicaid home attendant services (aka "personal care assistance") in New York City, for those who may still apply at the CASA offices -- everyone else must apply to a Managed Long Term Care Plan. t
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