Page Reviewed / Updated - Feb. 2016
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 at home. However, their care requirements cannot be severe that the cost of caring for them exceeds the cost to do so in a nursing home. For illustration purposes, individuals with early-stage Alzheimer's would be eligible but those in the late stages of the disease will probably require too much care to remain at home.
EISEP does not have fixed, published income and assets limits, however the program does have cost-sharing rules which impact those participants whose income is greater than 150% of the federal poverty level. Therefore, to receive services paid 100% by the state in 2016, the effective income limit of this program for a single applicant is $17,820 / year. For a two-person household, the effective income limit is $24,030 / year. Individuals and two person households with incomes up to 250% of the FPL receive assistance with a cost-share. In 2016, these limits for an individual and couple respectively are $29,700 / year and $40,050 / year.
*Important* Those whose incomes exceed these limits should still pursue assistance from this program. The cost-sharing co-payment EISEP may require is very reasonable and a fraction of the cost of care on the open market.
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. Waiting lists may exist in certain geographic areas. To apply for the EISEP program or to inquire about local wait lists, one should contact their Area Agency on Aging.
The state also maintains a webpage on the program but it provides limited information.