Frequently Asked Questions

An LHCSA is an agency the New York State Department of Health has licensed under Article 36 to send aides and nurses into people's homes. The license means the state inspects our operations, verifies our caregivers' credentials, and holds us to clinical standards — protections you don't get hiring privately off a listing site.

Broadly: anyone who needs help with activities of daily living — bathing, dressing, walking, meals — or who isn't safe home alone. Whether insurance pays is a separate question that depends on Medicaid status and an assessment. The fastest way to find out is a call with our intake team.

For most of our clients: nothing out of pocket, because an MLTC plan or Medicaid pays for authorized hours. Private-pay rates are hourly and depend on the level of care — call us for current figures and we'll quote plainly. See Insurance & MLTC for how coverage works.

Once the nurse assessment is done and coverage is confirmed, care typically starts within a few business days. Transfers from another agency are usually faster, since authorization already exists. Urgent situations get urgent handling — say so when you call.

Every caregiver passes a criminal background check with fingerprinting, health clearance including TB screening, certification verification against the state registry, and reference checks — before their first shift. Supervision doesn't stop after hiring: our nurses observe aides in the field on a regular schedule.

Yes — tell us what's spoken at home and we match for it. Our network includes caregivers who speak English, Spanish, Haitian Creole, Russian, Cantonese, and other community languages across all seven counties we serve.

Tell your coordinator and we'll rematch — no awkwardness, no interrogation. Fit matters, and a client who dreads their aide's arrival isn't receiving care in any meaningful sense.

Coverage is our problem, not yours. Schedulers maintain backup lists by neighborhood, and a coordinator is on call around the clock to arrange a qualified replacement.

Electronic Visit Verification is a federal requirement: every home care visit must be digitally verified for time and place. It protects clients (proof the visit happened, in full) and keeps billing honest. It requires nothing from your family.

Yes, and you don't have to explain yourself to your current agency. Give us your MLTC plan and care manager's name; we coordinate the transfer and your authorized hours continue with our caregivers.

Call (718) 238-9300 or use the contact form and select the referral topic. We accept referrals seven days a week and confirm receipt the same day.

We deliberately keep health details off this site. Anything medical — diagnoses, insurance IDs, dates of birth — is taken by phone with our intake team, where it's handled under our HIPAA obligations. Website forms here take contact information only. See our privacy policy.