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City Choice home health aide with an older client
Licensed home care across NYC

Home Care Services in New York City

City Choice Home Care Services is a licensed home care agency serving families across all five New York City boroughs — Brooklyn, Queens, the Bronx, Manhattan, and Staten Island. We provide certified Home Health Aides and Personal Care Aides who come to your home, follow your care plan, and make it possible for your loved one to stay where they belong.

Whether the need is daily personal care, post-hospital recovery support, or ongoing assistance for a family member with a disability, we match the right caregiver to your situation — quickly, carefully, and with no long-term commitments required.

HHA Services

Home Health Aide (HHA) Services

A Home Health Aide (HHA) is a state-certified caregiver who provides hands-on personal care under a physician-approved plan. In New York, HHAs must complete a state-approved training program and hold an active certification through the New York State Health Commerce System.

City Choice Home Care Services’ HHAs assist clients with:

  • Bathing, grooming, and personal hygiene
  • Dressing and mobility assistance
  • Medication reminders (as authorized in the care plan)
  • Vital sign monitoring and observation
  • Meal preparation and nutritional support
  • Light housekeeping and home safety tasks
  • Accompaniment to medical appointments
  • Companionship and emotional support

HHA services are available through Medicaid, Managed Long Term Care (MLTC) plans, Medicare (for qualifying medical conditions), and private pay. City Choice Home Care Services is a Medicaid-enrolled provider serving clients across Brooklyn, Queens, the Bronx, Manhattan, and Staten Island.

Who Needs an HHA?

Home Health Aide services are typically recommended for clients who:

  • Are recovering from surgery, a stroke, or a hospital stay
  • Have a chronic condition that requires ongoing monitoring
  • Need assistance with activities of daily living (ADLs) but want to remain at home
  • Are enrolled in a Medicaid or MLTC plan that authorizes HHA hours
  • Require a physician-ordered care plan to qualify for Medicaid coverage
PCA Services

Personal Care Aide (PCA) Services

A Personal Care Aide (PCA) provides non-medical in-home support for individuals who need help with daily living but do not require a physician-ordered care plan. PCA services are authorized through Medicaid Managed Care and are available to eligible adults and children across New York City.

City Choice Home Care Services’ PCAs assist clients with:

  • Personal hygiene and grooming
  • Dressing and undressing
  • Meal preparation and feeding assistance
  • Light housekeeping and laundry
  • Shopping and errands
  • Transportation to appointments and community activities
  • Companionship and supervision

Unlike HHA services, PCA services do not require a physician’s order to initiate. Many families come to us after being authorized for PCA hours through their Medicaid Managed Care plan. City Choice Home Care Services handles the enrollment process and can begin care quickly once authorization is confirmed.

HHA vs. PCA

HHA vs. PCA — Which One Does Your Family Need?

The main difference is the level of medical involvement. If your loved one has a physician-ordered care plan or needs medical monitoring as part of their care, an HHA is the right fit. If the primary need is help with daily tasks and supervision — without medical oversight — a PCA may be more appropriate.

Not sure which applies to your situation? Our care coordinators can walk you through it during intake — no commitment required. Most families know within one phone call.

How It Works

How It Works

Getting started with City Choice Home Care Services is straightforward:

  1. Call or Contact Us

    Reach out by phone or through our contact form. A care coordinator will respond within one business day — often the same day.

  2. Intake Assessment

    We gather information about your loved one’s condition, daily needs, location, and insurance or Medicaid plan. This usually takes 20–30 minutes by phone.

  3. Caregiver Matching

    We match your family with a certified HHA or PCA based on language, availability, location, and care needs. We don’t randomly assign — we match.

  4. Care Begins

    For most clients, care can begin within 24 to 72 hours of completing intake. For urgent hospital discharge situations, we work with discharge planners to prioritize same-day or next-day starts.

Medicaid

Does City Choice Home Care Services Accept Medicaid?

Yes. City Choice Home Care Services is enrolled as a Medicaid provider in New York State. We accept Medicaid directly and work with the major Managed Long Term Care (MLTC) plans serving New York City.

Most eligible clients pay nothing out of pocket for HHA or PCA services. Medicaid covers both service types for qualifying individuals, and our care coordinators can help families understand what their plan authorizes before care begins.

If you are unsure whether your loved one qualifies for Medicaid home care in New York, contact us — we can help you navigate the process.

FAQ

Frequently Asked Questions

What is the difference between an HHA and a PCA in New York?

A Home Health Aide (HHA) works under a physician-ordered care plan and can provide personal care with a medical component — such as monitoring vital signs or assisting with prescribed routines. A Personal Care Aide (PCA) provides non-medical daily living support and does not require a physician’s order. Both are covered by Medicaid in New York through different authorization pathways.

Does City Choice Home Care Services accept Medicaid?

Yes. City Choice Home Care Services is a Medicaid-enrolled home care provider in New York State. We work with Medicaid directly and with the major MLTC plans serving all five boroughs. Most eligible clients pay nothing out of pocket.

Which boroughs does City Choice Home Care Services serve?

City Choice Home Care Services provides home care services throughout Brooklyn, Queens, the Bronx, Manhattan, and Staten Island, as well as Westchester County. Our caregivers are based in the communities they serve.

How quickly can home care start after I call?

For most clients, care can begin within 24 to 72 hours of completing intake. For urgent situations — such as a hospital discharge — we coordinate directly with discharge planners to prioritize same-day or next-day placement when possible.

Do I need a doctor’s referral to get home care services?

It depends on the service. HHA services require a physician-ordered care plan to qualify for Medicaid coverage. PCA services do not require a physician’s referral — they are authorized through your Medicaid Managed Care plan directly. Our intake team will walk you through whichever pathway applies.

Are City Choice Home Care Services caregivers licensed and background-checked?

Yes. All City Choice Home Care Services caregivers hold active HHA or PCA certifications through the New York State Health Commerce System. Every caregiver goes through a criminal background check via the NYS Justice Center, employment verification, in-person interview, and skills evaluation before placement.

Get Started with Home Care in New York City

If your family is looking for a licensed, Medicaid-accepting home care agency in New York City, City Choice is ready to help. Our care coordinators are available to answer your questions and walk you through the intake process — with no pressure and no obligation. Call us or submit a request online and we will follow up within one business day.