Navigating the HRA Home Care Services Program in NYC

The New York City Human Resources Administration (HRA) Medical Insurance Community Services Administration (MICSA), also known as the Medicaid program, manages essential home care services through the Hra Home Care Services Program. This program, previously administering personal care, housekeeping, and Consumer Directed Personal Care Services (CDPAP), plays a crucial role in enabling eligible individuals to receive necessary care within the comfort of their own homes.

For those seeking to access the HRA Home Care Services Program, it’s important to note the central Medicaid unit’s current address:

HRA–HCSP Central Medicaid Unit

785 Atlantic Avenue, 7th Floor

Brooklyn, NY 11238

For inquiries, you can reach them at: T: 929-221-0849.

The pathway to enrollment in the HRA Home Care Services Program involves several key steps. Prospective applicants must first obtain a Conflict Free eligibility evaluation from NY Medicaid Choice. Following this evaluation, enrollment in a Managed Long Term Care plan is typically required to fully access the benefits of the program.

Eligibility for the HRA Home Care Services Program is structured to support specific adult populations. This includes:

  • Adults without Medicare and who are not yet enrolled in a Medicaid managed care plan.
  • Adult Medicare beneficiaries currently receiving hospice benefits.
  • Adults receiving waiver services through programs like the Traumatic Brain Injury (TBI) or Nursing Home Transition & Diversion Waiver, or those enrolled in the OPWDD waiver.
  • Individuals under 21 years old, with options for those aged 18-21 without Medicare to apply through CASA offices or enroll in a Managed Long Term Care plan if their care needs are substantial, potentially requiring nursing home level care.

For individuals who may still apply for Medicaid home attendant services (personal care assistance) through CASA offices, further guidance can be found in this article. However, it’s important to understand that for many, application through a Managed Long Term Care Plan is now the standard procedure.

When interacting with the staff of the HRA Home Care Services Program, it is vital to maintain courtesy and respect. In case of issues, it is recommended to start communication with junior staff and escalate to supervisors or managers only if necessary. This respectful approach helps ensure continued responsiveness from agency staff to advocates, caregivers, and consumers alike.

Disclaimer: Please remember, this information is for general guidance and informational purposes only and does not constitute legal advice. For legal advice, it is essential to consult with a qualified lawyer. Use of this information does not establish an attorney-client relationship. To find legal assistance, please visit http://lawhelp.org/ny. While we strive to maintain the accuracy and timeliness of this information in accordance with New York City, New York State, and federal law, we cannot guarantee its complete accuracy.

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