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Plain-language explainers about the decisions New York families actually face around Medicaid home care: self-direction or an agency, who can be paid to help, what to do when a notice cuts hours, and how surplus income works. Every post quotes the State Department of Health’s own wording, names no agency, trust, or law firm, and points to free public help first.

Start hereSeptember 10, 2026 · 6 min read

Spend-down vs pooled income trust: what New York's surplus income rules mean

A person needs Medicaid home care, whether through an agency aide or the Consumer Directed Personal Assistance Program, but their monthly income is above the Medicaid limit. Sometimes by a lot,…

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September 10, 2026 · 5 min read
Can a family member be a paid CDPAP personal assistant in New York?
Often, yes. New York's Consumer Directed Personal Assistance Program (CDPAP) lets a Medicaid member who is eligible for home care choose their own personal assistant,…
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September 10, 2026 · 5 min read
CDPAP vs PCS in New York: choosing self-direction or agency care
New York Medicaid pays for help at home in two main forms. Personal care services (PCS) means a personal care aide, sometimes called a home attendant, employed by a licensed home care agency.
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September 10, 2026 · 7 min read
Aid continuing and fair hearings when your home care hours are cut
If a notice says your CDPAP or personal care hours are being reduced, suspended, or ended, the most time-sensitive right you have is called aid continuing (the Department of Health also calls it aid to continue,…
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Spend-down vs pooled income trust: what New York's surplus income rules mean

Can a family member be a paid CDPAP personal assistant in New York?

CDPAP vs PCS in New York: choosing self-direction or agency care

Aid continuing and fair hearings when your home care hours are cut