Home Care

Selfhelp Community Services is licensed and certified through the New York State Department of Health to offer home care services. Our not-for-profit home care program employs over 1,500 home health aides who provide more than 2 million hours of care each year. From skilled nursing, to assistance with bathing, grooming, housekeeping, preparing meals and performing other daily chores, our home care program makes it possible for tens of thousands of New Yorkers to continue to live independently in their homes.

Selfhelp is unique in our ability to provide a full range of home and community-based care. Individuals receiving home care have access to Selfhelp's community-based social services.

Selfhelp offers specialized care for:

  • Individuals with memory impairment, dementia, Alzheimer's
  • Holocaust survivors
  • Immigrants, including people speaking Russian, Spanish, and Mandarin
  • Live-in, 24/7 care
  • Disabilities and chronic conditions
  • And more, ask our team about your unique needs

We are here for you. Call or email our team to learn more about home care services for yourself or a loved one.

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What is home care?

The terms "home care" and "home health care" are used interchangeably to refer to skilled clinical care, such as nursing and physical therapy or medication management, as well as to describe a variety of non-medical paraprofessional services such as homemaking, housekeeping, personal care and household chores. These services are provided at home, as opposed to at a hospital or rehabilitation center, to allow the person to continue living as independently as possible in their own home and community.

There are two types of home care agencies in New York State:

  • Certified Home Health Agency (CHHA): provides short-term rehabilitative skilled in-home care, including nursing, physical and occupational therapists, home health aides, and social workers to provide an after care from surgery and manage chronic conditions with the goal of avoiding hospitalization.
  • Licensed Home Care Services Agency (LHCSA): provides short or long term non-medical paraprofessional services to assist with activities of daily living such as dressing, bathing, grooming, mobility, eating, meal preparation, housekeeping, and more. Care is provided by home health aides and is supervised by registered nurses.

Selfhelp is licensed and certified through the New York State Department of Health to offer both CHHA and LHCSA services.

Our skilled staff work collaboratively to provide high quality coordinated care. Our home care staff include:

  • Registered Nurses review the medical needs of clients, in consultation with their doctors, assess and evaluate home care requirements, manage care plans, including medicine reconciliation, education, and management, wound care, nutrition, and coordination of care between other disciplines.
  • Social Workers evaluate clients' social and emotional needs, identify community resources, assist with applications for benefits and entitlements, and provide overall strategies and support for ongoing care.
  • Home Care Aides perform light household tasks such as laundry, meal preparation, general housekeeping and shopping, as well as assist with getting out of bed, walking, bathing, grooming, dressing, medication management and wound care, when needed. All home care aides are fully certified and receive ongoing training through Selfhelp's Training Department. Aides are supported by our staff and mentors.
  • Physical Therapists help their clients with after care from surgery and improving strength, balance, coordination, and endurance through exercise.

Every Selfhelp client has access to our full range of community-based services and our experienced and compassionate caregivers.

What is the first step?

The first step is to contact Selfhelp’s intake team to discuss the plan of care for you or your loved one. This will include scheduling an assessment with Selfhelp’s nurse. Call or email our team to set up this free assessment.

Before you schedule an assessment, our team is able to answer your questions, including type of care offered, payment methods, geographic coverage, and more.

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Serving New York City and Long Island

Selfhelp offers home care services to residents of New York City (Manhattan, Queens, Brooklyn, and the Bronx), and Long Island (Nassau and Suffolk counties).

Selfhelp can coordinate care with family members or care managers who live out of state.

Selfhelp’s Expertise & Legacy

Selfhelp's home care programs are licensed and certified through the New York State Department of Health. We are active board members of the New York State Home Care Association where we serve on various board related committees. Our home care programs are accredited by the Community Health Accrediting Program (CHAP). The accreditation process includes on site surveyors who assess daily home care operations through staff, client, and board interview to ensure that standards are met. CHAP sets the standards for community health accreditation and we are proud to receive their approval.

Home Care FAQs
Who sets standards and regulates home care?

Our home care programs are accredited by the Community Health Accrediting Program (CHAP). The accreditation process includes on site surveyors who assess daily home care operations through staff, client, and board interview to ensure that standards are met. CHAP sets the standards for community health accreditation and we are proud to receive their approval.

Both New York State and the federal government set standards and regulate home care. Home care agencies and programs differ in the services they provide and the state agency that oversees their operation. The New York State Department of Health (DOH) sets standards for and regulates all home care agencies that provide health or medically-related services to people in their homes.

DOH and the Centers for Medicare and Medicaid Services (CMS) jointly regulate agencies participating in the Medicare program. DOH regulations and standards require that home care providers meet the same standards relating to agency establishment, paraprofessional training, quality of care and consumer protection standards including service delivery and personnel requirements.

Selfhelp's home care programs are licensed and certified through the New York State Department of Health.

Homemaking & Housekeeping Services

Through the licensed home care agency, Selfhelp provides housekeeping to frail and elderly New Yorkers. If you or a loved one is in need of non-medical in-home care, including light housekeeping, please call our team to discuss your unique situation.

ACS Homemaking and HRA Housekeeping Programs in New York City

Selfhelp provides nearly 200,000 hours of child-focused home care each year to at-risk families in Manhattan, Brooklyn, Queens and the Bronx, so they can remain together in their own homes. Homemakers provide critical support to families, including parenting, life management, and money skills for parents, homework help for the children, prevent the disintegration of families when primary caretakers are unable to cope adequately with the demands and responsibilities of their families and render stability to the family. Our Homemaking Program is funded by, and all referrals are made through, New York City's Administration for Children's Services (ACS). Each year, we provide over 250,000 hours of housekeeping services to elderly and frail New Yorkers in Manhattan, Brooklyn, Queens and the Bronx who experience trouble maintaining their own homes safely. Housekeepers clean and perform light chores for people who are not able to clean, prepare their own meals, shop or do other errands. The Housekeeping Program is funded by, and receives referrals through, the New York City Human Resource Administration (HRA).

Who pays for Home Care?

Many families have questions about how to pay for home care. Contact our team to discuss your family’s situation.


Most Americans older than 65 are eligible for the federally funded Medicare program. If an individual is homebound, under a physician's care, and requires medically necessary skilled services, they may be eligible for services provided by a Medicare-certified home health agency like Selfhelp. Medicare pays for short-term, and rehabilitative care. Medicare may pay for skilled nursing; physical, occupational, and speech therapies; medical social work; home health aides (HHA) services; and medical equipment and supplies. The referring physician must authorize the patient's plan of care.


Medicaid is a joint federal-state medical assistance program for low-income individuals. Medicaid provides coverage for home health services and must include part-time nursing, PCA services, and medical supplies and equipment. Medicaid also covers audiology, physical, occupational and speech therapies, and medical social services.

Managed Care Organizations

Commercial health insurance companies typically cover some home care services for acute needs, but benefits for long-term services vary from plan to plan. Most commercial and private insurance plans will cover nursing, social work, therapies, personal care, medications, and medical supplies and equipment. Cost-sharing varies with individual policies, but often is not required. Individuals sometimes find it necessary to purchase Medigap insurance or long-term care insurance policies for additional home care coverage.


This insurance is designed to bridge some of the gaps in Medicare coverage. Some Medigap policies offer at-home recovery benefits, which pay for some personal care services when the policyholder is receiving Medicare-covered skilled home health services.

Long-Term Care Insurance

Long-term care insurance was intended to protect individuals from the catastrophic expense of a lengthy stay in a nursing home. As the need and preference for home care has grown, private long-term care insurance policies have expanded their coverage of personal care, companionship, and other in-home services.

Private Pay

Home Care services can be arranged for individuals who are interested in paying privately for Selfhelp Home Care Services. These can include anything from service a few hours per day or a few days a week, to provide relief to a caregiver, to seven day a week care for safety, comfort, and peace of mind.

How do I determine what level of service my family member needs? What if circumstances change? How can I be sure the services will remain appropriate?

Our care professionals work as a team to provide a multi-disciplinary approach for our clients. A Selfhelp registered nurse or social worker performs in-home assessments and consults with a physician or managed care plan, as needed, to develop a care plan which is customized for each client. We provide ongoing in-home support and, should your condition change, we will modify care plans accordingly.

Home Health Aide Training Program

Selfhelp's Home Health Aide (HHA) and Personal Care Aide (PCA) training programs are approved by the New York State Department of Health and are provided free of charge. Students attend core curriculum trainings in the classroom, and then progress to the laboratory to learn clinical skills, and conclude with field training in clients' homes. Learn more by calling our team at 212-971-7714.