How to Apply for Medicaid Home Care in New York — Step by Step
Real bureaucracy, broken down clearly. The NYIA assessment, MLTC enrollment, agency selection, and what to do if hours are denied.

Practical advice on caregiving, Medicaid, and home care — written by people who do this work every day.
Real bureaucracy, broken down clearly. The NYIA assessment, MLTC enrollment, agency selection, and what to do if hours are denied.
There are hundreds of home care agencies in New York City. They all say the same things. After 15 years in Brooklyn, here is what genuinely matters.
A refrigerator full of food and a parent who is not eating enough. Not because they do not want to — but because eating has gotten harder in ways nobody talks about.
Nobody wants to have the conversation. But by the time things are visibly wrong, they have usually been quietly wrong for a while. Here is what to actually look for.
We get this call at least a few times a week. After 15 years the conversation is always different, but the underlying dynamics are almost always the same.
Starting as a caregiver can feel overwhelming. After 15 years and hundreds of families, here are the ten things we wish every first-time caregiver knew before they started.