The NYC Medicaid Home Care Services Program, which is part of the NYC Human Resources Administration Medical Insurance Community Services Administration (MICSA), also known as the Medicaid program, formerly was responsible for administration in NYC for three types of Medicaid "personal care" services -- home attendant, housekeeping, and Consumer Directed Personal Care Services. (CDPAP).
Until September 2012, anyone who needed any of these 3 types of home care services would apply to the "CASA" office based in each borough. The CASA offices processed both the Medicaid application and the request for home care.
As of November 2012, any applicant over age 21 who HAS MEDICAID AND MEDICARE, with a few exceptions listed below, may no longer apply to the CASA offices for Medicaid personal care services. They must instead enroll in Managed Long Term Care plans. There is no longer an option of enrolling with a Lombardi (long term home health care) program.
HOUSEKEEPING - The Home Care Services program still accepts M11qs/ applications for people who SOLELY need Medicaid HOUSEKEEPING services and no personal care. These services are limited to 8 hours/week and provide assistance with shopping, cooking, cleaning, laundry and other household chores when needed because of disability. THey do not provide assistance with "activites of daily living" such as bathing, dressing, ambulation, toileting or transfer. See MLTC Policy 13.21: Process Issues Involving the Definition of Community Based Long Term Care and this MICSA ALERT
An individual over age 21 who has Medicare but does not yet have Medicaid, may still apply for Medicaid through the Home Care Services Program, by mailing the Medicaid application to this office, but this office WILL NOT PROCESS the request for Home Care; once Medicaid is approved, the applicant must enroll in a Managed Long Term Care plan:
Do NOT have Medicare; or
Have Medicare but have hospice services, or
Have Medicare but need ONLY Housekeeping services (maximum 8 hours/week) - see MICSA directive
Have waiver services through the Traumatic Brain Injury (TBI) or Nursing Home Transition & DIversion Waiver program, or
Are under 21 years old, though those who are age 18-21 and don't have Medicare have the option of applying to the CASA offices or enrolling in a Managed Long Term Care plan, if their functional needs are extensive enough that they would otherwise qualify for nursing home care.
This CASA CONTACT LIST reflects recent consolidation of many CASA offices and the move of the main Administrative Office of this program on January 14, 2013 from 109 E. 16th St. in Manhattan to 785 Atlantic Avenue, 7th Floor, Brooklyn, NY 11238. There is now only ONE CASA in each borough.
See this article for tips on applying for Medicaid home attendant services (aka "personal care assistance") in New York City, for those who may still apply at the CASA offices -- everyone else must apply to a Managed Long Term Care Plan. t
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