Seniors & Aging · Surprise rank #367
New Yorkers 60+ Can Get Subsidized Home Care Even When Medicaid Says They Earn Too Much
The Expanded In-Home Services for the Elderly Program (EISEP) provides sliding-scale personal care, housekeeping, and respite for seniors who earn too much for Medicaid but can't afford private care.
Who
Adults age 60+ with functional needs who are not eligible for the same services through Medicaid.
Where: Statewide through county Offices for the Aging.
What to do
Start here: Call the county Office for the Aging or NY Connects and request an EISEP assessment.
Eligibility: Age 60+, functional assessment, non-Medicaid status for the service and local program availability.
What you get
Older adults who need help at home but do not qualify for Medicaid may receive subsidized personal care and case management on a sliding scale.
Benefit: Case management, homemaker/personal care, respite and related in-home services.
Possible value: Varies from modest subsidies to thousands of dollars in home-care value.
Good to know
Important: Sliding-scale contributions and waitlists may apply; it is not round-the-clock care.
Availability: Rolling, subject to local capacity.
Why people miss it: Families assume the only public home-care option is Medicaid.
Sources reviewed: Aug 2, 2026