If you have been trying to figure out how to get home care for a loved one in New York, you have probably come across two terms more than any others. PCA and HHA. Personal Care Aide and Home Health Aide. A lot of families assume they are the same thing with different names. They […]
What Is Medicaid Advantage Plus and How Can It Help Your Family Get Home Care in New York?
If you have been trying to figure out how home care works in New York, you have probably come across many terms that nobody has bothered to explain. Managed care. Medicaid plans. Long-term care coordination. And if you have been doing any research at all, there is a good chance you have seen the words […]
How to Get Home Care After a Hospital Discharge in New York
Nobody prepares you for the moment the hospital says your loved one is ready to go home. You expected more time. You expected someone to sit down with you and walk you through what happens next. Instead, you got a discharge planner who had fifteen other patients to deal with, a stack of paperwork, a […]
Does Your Loved One Need Home Care in New York? Here Is How to Get Them Approved
There comes a point in many families when everyone can see it, but nobody quite knows what to do about it. Maybe your mother is not managing on her own the way she used to. Maybe your father just got discharged from the hospital, and the nurse handed you a list of follow-up instructions and […]
Difference Between Medicare and Medicaid
Medicare and Medicaid are both government health insurance programs, but they serve different populations, have different eligibility rules, and cover different services. Medicare is primarily a federal program for people who are 65 or older, as well as certain younger individuals with disabilities or specific medical conditions. Eligibility is generally based on age or disability […]
What Is Skilled Nursing Care?
Skilled nursing care refers to medical care provided by licensed healthcare professionals, typically registered nurses or licensed practical nurses, under a physician’s direction. Unlike non-medical Home Care, skilled nursing involves clinical tasks that require medical training, judgment, and ongoing assessment. Skilled nursing care may include services such as wound care, injections, IV therapy, catheter management, […]
What Is a NYIA Assessment?
A NYIA assessment is an evaluation conducted by the New York Independent Assessor. NYIA is a state-contracted entity responsible for completing independent assessments for individuals seeking Medicaid-funded long-term Home Care services in New York. If someone is applying for PCA or HHA Home Care through Medicaid, especially under an MLTC or MAP plan, a NYIA […]
PCA Home Care
PCA Home Care stands for Personal Care Aide Home Care. It is a Medicaid-based Home Care service in New York designed for adults who have a long-term or ongoing health condition that limits their ability to manage daily activities safely on their own. PCA Home Care allows individuals to remain in their homes while receiving […]
What Is Non-Medical Assistance?
Non-medical assistance refers to supportive Home Care services that help a person safely manage daily life at home without providing skilled medical treatment. It focuses on functional support rather than clinical procedures. In New York, this type of assistance is commonly delivered through PCA/HHA Home Care services under Medicaid-managed plans. Non-medical assistance typically includes help […]
How to Enroll in an MLTC Plan?
Enrolling in a Medicaid Managed Long-Term Care (MLTC) plan is a required step for many people in New York who need long-term Home Care. The process is structured, and timing matters. Starting in the wrong order or enrolling without proper screening are among the most common reasons families experience delays or denials. The first requirement […]