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New York Expanded In-home Services for the Elderly (EISEP)

Program Description

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 is to prevent, or at least delay, the placement of frail, elderly state residents in more expensive Medicaid-funded nursing homes. By providing services for 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, while allowing them to continue to live in the community.

Under EISEP, in some areas of NY, adult children and other relatives can work as paid caregivers to their elderly parents.

In 2011, changes were made to the program to allow for Consumer Directed In Home 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 so on their behalf. Participants are able to hire 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, so one should inquire with their local Area Agency on Aging to see about availability.

Eligibility Guidelines

The EISEP program is designed for low-income seniors, 60 years of age and up, who do not qualify for Medicaid. In addition, program participants must live at home and require assistance with their Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), such as mobility, toiletry, bathing, and cooking. However, their care requirements cannot be so 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 would more than likely 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 (FPL). Therefore, as of 2017, to receive services paid 100% by the state, the effective income limit of this program for a single applicant is $18,090 / year or $1,507.50 / month. For a two-person household, the effective income limit is $24,360 / year or $2,030 / month. Individuals and two person households with incomes between 150% and 250% of the FPL receive assistance with a cost-share. As of 2017, 250% of the FPL for an individual and couple respectively are $30,150 / year or $2,512 and $40,600 / year or $3,383.

*Important* Individuals whose income exceeds the limit for services at no cost 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.

Benefits and Services

The services provided under EISEP may vary from county to county and with each participating individual. As mentioned previously, the cost for these services is based on a sliding scale, which is determined by the participant’s income level. There may be no charge or a co-payment, up to 100%, may be required. In addition to case management, possible services include:

  • Adult Day Care

  • Companion Services

  • Assistance with ADLs / IADLs - bathing, grooming, dressing, shopping, errands, etc.

  • Chore Services

  • Housekeeping / Homemaker Services

  • Meal Preparation / Home Delivered Meals

  • Medication Reminders

  • Personal Care

  • Personal Emergency Response Services (PERS)

  • Respite Care (Non Institutional)

  • Transportation Assistance or Escorts

  • Ancillary Services - installation of grab bars, bathtub seat, etc.





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