Page Reviewed / Updated - May 2014
The state of New York offers a program called Expanded In-home Services for the Elderly or EISEP for short. This program provides non-medical care services to seniors in their homes as well as support services such as case management. One objective of the program to prevent or at least delay the placement of frail, elderly state residents in more expensive, Medicaid-funded nursing homes. By providing services to seniors and their caregivers in their homes, the state hopes to both save money and provide the aged and disabled with a higher quality of life.
In 2011, changes were made to the program to allow for consumer direction of in-home care services (referred to as CDIS). Consumer direction empowers the care recipient to select, train and manage their own care providers instead of the state doing that on their behalf. Participants are able to hire other family members and pay them (with the state's money) for their caregiving services, provided they meet the program's requirements. Consumer direction varies from county to county, one should inquire with their local Area Agency on Aging to see about availability.
The EISEP program is designed for low income seniors who do not qualify for Medicaid. In addition, program participants must need assistance with their activities of daily, be aged 60 or older and live in their homes. However, their care requirements cannot be severe that the cost of caring for them exceeds the cost to do so in a nursing home. Individuals with early-stage Alzheimer's might be eligible but those in the later stages of the disease may require too much care.
The financial requirements are unpublished and likely vary from one county to the next. Most individuals have income levels near or within 150% of the Federal Poverty Line which for 2014 is less than $17,505 for an individual or $23,595 for a married couple.
The services provided under EISEP may vary from county to county and with each participating individual. The cost for these services is on a sliding scale determined by the participant’s income level. There can be no charge or a co-payment may be required. If so, co-payments are required, they are a fraction of what the services would otherwise cost were a home care worker hired. In addition to case management, possible services include:
While this program is available throughout the state of New York, it is administered locally by the Area Agencies on Aging. Waitlists may exist in certain geographic areas. To apply for the EISEP program or to inquire about local waitlists, one should contact their Area Agency on Aging.