How do I know if I qualify for Medicaid home care in New York?

To qualify for Medicaid home care in New York, you generally must: (1) be a NY resident, (2) have income and assets below Medicaid thresholds (for 2026, roughly $1,732/month for a single person), (3) have a medical need for assistance with daily activities (ADLs), and (4) be enrolled in a Medicaid plan. Use this free tool to check your preliminary eligibility in 2 minutes.

Does Medicaid cover 24-hour home care in NY?

Yes. New York Medicaid, through Managed Long-Term Care (MLTC) plans, can cover 24-hour split-shift or live-in home care for individuals who are clinically assessed as needing continuous assistance. Your MLTC plan's care coordinator will determine the number of authorized hours based on your clinical assessment.

What is the income limit for Medicaid in New York in 2026?

For 2026, the Medicaid income limit in New York for a single adult is approximately $1,732/month (modified adjusted gross income). For a household of 2, the limit is approximately $2,349/month. Asset limits also apply for non-MAGI Medicaid. Priority Groups can help you verify current eligibility thresholds for free.

Free Medicaid Eligibility Checker — New York & New Jersey

Step 1 of 6

Which state does the person needing care live in?

Medicaid rules differ by state. We serve New York and New Jersey.

Out of Area

We currently serve NY and NJ

Priority Groups operates in New York and New Jersey. If you're in another state, we may be able to refer you to a partner agency. Call us to discuss your situation.

Speak with our team for a referral:

718-400-6166 Mon–Fri, 9AM–5PM ET

Step 2 of 6

How old is the person who needs home care?

Age affects which Medicaid programs apply.

Pediatric Care

Home care for children under 18

Children may qualify under Medicaid's Early Intervention or EPSDT programs. Our team can help identify the right services. Call us for a free consultation.

Talk to our team about pediatric home care:

718-400-6166

Step 3 of 6

Does the person have a disability or medical condition that affects daily activities?

Home care Medicaid programs require a clinical need for assistance.

Eligibility Note

A clinical assessment is required

Medicaid home care requires a documented medical need. Even if you're unsure about a diagnosis, our intake team can connect you with a nurse assessor who will evaluate your needs at no cost. Many people are surprised to find they qualify.

Request a free clinical assessment:

718-400-6166

Step 4 of 6

Does the person currently have Medicaid?

We'll help you understand your coverage options either way.

Eligibility Screen

Rough income check

Medicaid has income limits. For 2026, the approximate monthly income limit for a single adult in NY is $1,732. This gives us a sense of whether you may qualify.

Note: Spend-down rules and exempt income may allow some people over the limit to still qualify. Our team can verify your specific situation for free.

Step 5 of 6

Where does the person currently live?

Home care programs require the person to live in the community (not in a nursing facility, unless transitioning out).

Step 6 of 6

Get your results — and a free call with our team

Enter your info to see your eligibility result and get a callback from a Priority Groups intake specialist.

Based on your answers, you may qualify for Medicaid home care.

Your responses suggest you meet several key eligibility criteria. A Priority Groups intake specialist will call you to confirm and start the process.

What happens next: our team will verify Medicaid enrollment, coordinate with your plan, and match you with a certified home health aide — typically within 1–3 business days of authorization.

Expect a call within 1 business day.

718-400-6166 Or call us now — Mon–Fri, 9AM–5PM ET Call Now — Speak to a Specialist

You may qualify — but it depends on a few factors our team can clarify.

Some of your answers suggest you might qualify, but we need to verify income, coverage status, or other details. Many people who aren't sure do end up qualifying.

Our intake specialists can review your situation at no cost and help you apply for Medicaid if needed. We've helped hundreds of families get covered.

A specialist will call you to review your case.

718-400-6166 Mon–Fri, 9AM–5PM ET Talk to an Eligibility Specialist

This tool provides a general eligibility screen only — it is not a formal determination of Medicaid benefits. Actual eligibility is determined by your state Medicaid agency. Priority Groups LLC is a licensed home care agency (LHCSA) in New York. Results are shared only with Priority Groups staff to facilitate a follow-up call.

Free Medicaid Home Care Eligibility Check