Home Care Eligibility | Amazing Home Care

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Getting home care doesn’t have to be complex. Our team can help you get the services you need quickly and easily.


A member of our team will reach out to begin the enrollment process, discuss patient needs, answer any questions and explain every step, from start to finish, to put everyone at ease.


Intake coordinators obtain physician referrals and help with insurance paperwork and forms, ensuring everything is submitted correctly. Once insurance authorization is received, a coordinator will reach out to discuss the particulars.


One of our RNs will do a home visit, devise a customized care plan and oversee its implementation. A caregiver will be assigned and works closely with the RN to implement the plan with accuracy.

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Home Care Eligibility

Typically, unless you require skilled care, Medicare doesn’t cover home assistants for personal care or household services. It also doesn’t cover 24-hour personal care assistance or custodial care for help with daily living activities like bathing or grooming.

Medicare only covers these services for patients receiving skilled nursing, such as for wound care or administering medication for an illness or injury. For eligibility, care must be given part-time or intermittently for less than seven days a week or daily for less than eight hours per day for up to 21 days.

If an individual needs full-time, long-term skilled nursing care, they may not qualify for coverage from Medicare.

The most common conditions that home health care can help manage are heart disease, Parkinson’s disease, diabetes, chronic obstructive pulmonary disease, emphysema, Alzheimer’s, and dementia. Other serious illnesses like pneumonia, cancer, and stroke may also require assisted home care services such as skilled nursing.

Chronic conditions like asthma or acute problems like injury may also necessitate home health care.

Individuals wondering how to get a home aide in New York can contact their local Home Care Services Program (HCSP) or the New York State Department of Health (DOH). These authorities will assess an individual’s need for home care and help narrow down what program a patient is eligible for.

Using home care assessment forms like M11Q, a patient’s health care provider can provide details about the type and level of necessary care. If a patient is eligible for home care, they can select a home care agency such as Amazing Home Care. This can simplify the process of finding qualified home health aides.

After this, the patient or their caretaker must fill out the home care enrollment form, providing contact information, insurance details, and other documentation. The home care agency will handle the application process, verify eligibility, and coordinate with the insurance provider.

The agency and its aides will then develop a personalized care plan to meet the patient’s needs.

New York offers programs that pay family members to become home caregivers and help their loved ones. Whether a family member gets paid depends on:

  • The patient's income and resources.
  • The type and level of care needed.
  • If the patient or their spouse is a U.S. war veteran.
  • The type of insurance they have.
  • The relationship between the caregiver and patient.

Some programs, like the Consumer-Directed Personal Assistance Program (CDPAP) in New York, pay non-spouse relatives or friends to become caregivers, while other programs may compensate any person for providing care.

Home care services include nursing care, home health aide, and personal care services as well as speech, physical therapy, and occupational therapy. To qualify for these services in New York, individuals must meet the eligibility requirements set by insurance providers like Medicaid and Medicare. Typically, this involves having a medical condition or disability that requires skilled nursing, therapy, or help with daily activities.

To receive home care, an individual’s healthcare provider or physician must recommend or prescribe home health services, specifying the type and level of care needed. The individual must also have insurance coverage that includes home health care benefits.

Additionally, a trained professional from an HSCP or the DOH must conduct an assessment to determine the individual's medical needs and home care eligibility for specific services and programs.

The most commonly used home care service is skilled nursing. Home health nursing professionals help patients manage medical conditions, recover after hospitalization, and maintain their quality of life.

Skilled nursing may involve wound care, chronic illness management, medication and nutrition, and pain assessment and relief. It may also involve health monitoring, sample collection for testing, and coordination with physicians.

Other home care services include home health aides, personal care or assistance with daily living activities, housekeeping, and companionship

Home care involves various services that provide personalized support and assistance to individuals in the comfort of their own homes. This can include:

  1. Personal care or assistance with self-care, such as bathing, dressing, or grooming.
  2. Medication management to make sure it is taken correctly and on time.
  3. Meal planning and preparation based on dietary needs.
  4. Housekeeping to maintain a clean and safe living environment.
  5. Companionship and emotional support to prevent isolation.
  6. Mobility assistance for moving around.
  7. Medical care, including wound care, injections, and monitoring vital signs.
  8. Therapy, including physical, occupational, or speech therapy, to promote recovery.
  9. Collaboration with healthcare professionals, family members, and caregivers for continuity of care.

In-home services cover a wide range of supportive and care-related services provided to individuals in the safety and comfort of their homes. These services assist individuals with daily life to promote independence and enhance their comfort level. In-home services can vary depending on an individual's needs, available resources, and local regulations governing home care.

Curious about to get in-home care? Home care agencies like Amazing Home Care are here to simplify the process. We offer qualified home health aides and skilled nursing services to ensure individuals have all the support they need to optimize their health and quality of life.