Adult Care NetworkGetting Medicaid Home Care Clients in New York
New York has one of the largest — and most actively changing — Medicaid home care landscapes in the country. For agencies growing census here, staying current on the rules matters as much as generating leads.
The programs: PCA and HHA (NY DOH)
New York Medicaid funds home care primarily through Personal Care Services (PCA) and Home Health Aide (HHA) services, often delivered through Managed Long Term Care (MLTC) plans. Published personal care / home health aide rates vary significantly by region and plan — the New York City region tends to run higher (around $28/hour on some schedules) than other parts of the state.
New York’s home care rules have been undergoing significant change. Do not rely on any single summary; confirm the current structure, rates, and requirements directly with New York State Department of Health.
What this means for agencies
- Region and plan drive everything. Authorized hours, rates, and the plans you work with vary across NYC, Long Island, and upstate.
- Stay current on the rules. New York’s home care programs have seen major structural changes; what was true last year may not be true now.
- MLTC relationships matter. Much of NY personal care flows through managed long-term care plans — being in-network and responsive affects your referrals.
Reaching New York families efficiently
Given the complexity, screening is especially valuable in New York: confirming a family’s region, plan, eligibility, and genuine need before you invest avoids chasing leads you can’t actually serve under the current rules. Referral relationships with MLTC care managers and discharge planners remain central.
Adult Care Network is live in New York. We screen families against a written standard, deliver each to your portal in real time, and cap distribution at no more than three matched agencies — flat fee per qualified lead, never per enrollment. (New York markets Personal Care and Home Health Aide services.)
See New York leads for agencies → · Run the ROI calculator →
General information for agencies, not legal or eligibility advice. New York’s home care rules change frequently — confirm all current details with the NY State Department of Health.