Live-In Home Care in Roosevelt, NY

Medicaid can cover live-in and ongoing home care in New York through Managed Long-Term Care plans, commonly called MLTC. If your parent is enrolled in Medicaid in Nassau County, they may be eligible for substantial home care coverage — including live-in support — depending on their medical needs and functional assessment. The specifics vary by plan and by the individual's care needs, so it's not a yes or no answer you can get without an assessment.

We accept Medicaid and MLTC plans and handle the insurance navigation as part of the intake process. You don't need to have your parent's coverage figured out before you reach out. The free in-home assessment is where our clinical team evaluates care needs, and that assessment directly informs what coverage may apply. For Roosevelt families managing Medicaid enrollment or unsure which MLTC plan their parent is on, we can walk through that with you.

CDPAP — the Consumer Directed Personal Assistance Program — is a New York State Medicaid program that allows eligible seniors to hire someone they already trust as their paid personal assistant. That can be a family member, a neighbor, or a close friend. The senior directs their own care, and the personal assistant gets compensated through Medicaid rather than working through a traditional agency.

We're a Lead Financial Intermediary for CDPAP in New York, which means we handle the financial administration of the program on behalf of the family. For Roosevelt households where a family member is already providing daily care — helping a parent bathe, managing medications, handling meals — CDPAP converts that informal arrangement into a paid, supported one. The caregiver gets compensated. The senior gets clinical oversight through our nursing team. And the family has a backup plan when the primary caregiver isn't available. To qualify, the senior must be Medicaid-eligible, and the personal assistant must meet state eligibility requirements. We can help you determine if your family qualifies.

Live-in care means a caregiver lives in the home for an extended period — typically working a long shift and then sleeping in the home overnight. They are available throughout the day and evening, but they are entitled to sleep breaks during overnight hours. This works well for seniors who need consistent daily support but don't require someone to be actively awake and working every hour of the night.

Around-the-clock care, sometimes called 24/7 care, involves rotating shifts of caregivers so that someone is awake and actively working at all hours — including the middle of the night. This is appropriate for seniors with higher medical needs, significant fall risk, or conditions like advanced dementia where nighttime wandering or distress is a concern. It's a more intensive arrangement and typically involves multiple caregivers rotating through the home. Our nursing team will assess which model fits your parent's actual needs during the free in-home assessment — and for many Roosevelt families dealing with older, multi-floor homes, that assessment often surfaces needs that weren't obvious before the visit.

Caregiver matching at our agency is not a staffing algorithm. The process accounts for the senior's medical needs, personality, daily routines, and the specific household environment. For a Roosevelt family with a parent managing Parkinson's in a split-level home, that means the caregiver needs experience with mobility assistance and fall prevention — not just general companion care. Those distinctions matter, and they're built into the matching process from the start.

Once the care plan is in place and the match is confirmed, we can typically refer a caregiver within 24 hours. That speed matters when the need is urgent — which it often is after a hospital discharge from Nassau University Medical Center or following a fall or health event that changes things quickly. From that point forward, the goal is consistency: the same caregiver, not a rotating roster of strangers. If something changes — the caregiver is unavailable, the senior's needs shift — your named care coordinator handles it and returns your call the same day during business hours.

This is one of the most common fears families have when they're evaluating home care agencies, and it's a fair one. The concern isn't just inconvenience — it's the image of a parent alone in a Roosevelt Cape Cod at 7am because the caregiver didn't show up and no one called.

We address this through our care coordinator model. Every family has a single named coordinator who manages their account and is reachable same-day during business hours. When a coverage issue comes up, that coordinator is the person who handles it — not a call center, not a voicemail box. We've been operating in Nassau County since 2000, which means we have the operational depth to manage staffing continuity in a way that newer or smaller agencies often can't. The free in-home assessment is also the point where backup planning gets built into the care plan — so it's not something you're figuring out in the middle of a crisis.

In most cases, yes — and the gap in New York is significant. A private nursing home room in New York costs approximately $14,813 per month based on 2024 cost of care data. Assisted living in New York averages around $6,300 per month. Live-in home care, depending on hours, insurance coverage, and care needs, can come in well below those figures — particularly when Medicaid, MLTC, or CDPAP coverage applies.

For Roosevelt families, this comparison is especially relevant because many seniors in this community are long-term homeowners with deep roots in their neighborhood. The financial case for staying home is real, and so is the personal one. A senior who has lived on the same Roosevelt street for 40 years, in a home they own, is not going to thrive in an institutional setting the way they would in a familiar environment with consistent, personalized support. The free in-home assessment with us is the starting point for understanding what coverage your parent qualifies for and what the actual cost picture looks like — before you make any decisions.