24/7 intake line
City Choice caregiver with a child
Pediatric home care across NYC

Pediatric Home Care Services in New York City

City Choice Home Care Services provides specialized in-home care for children across all five New York City boroughs. Whether your child has a complex medical condition, a developmental disability, or needs daily living support at home, our certified caregivers are trained to work with pediatric clients — safely, compassionately, and in coordination with your child’s medical team.

We understand that finding home care for a child is different from finding care for an adult. The stakes feel higher, the needs are more specific, and the trust required is deeper. City Choice Home Care Services has served New York families for over 20 years — and pediatric care has been part of that work from the start.

Pediatric Home Care

What Is Pediatric Home Care?

Pediatric home care is professional caregiving provided in the home for children who need ongoing support due to medical conditions, developmental disabilities, or physical limitations. It allows children to receive the care and supervision they need while staying in a familiar, comfortable environment — at home with their family.

In New York, pediatric home care is typically provided by:

  • Home Health Aides (HHAs) — certified caregivers who assist with personal care under a physician-approved plan
  • Personal Care Aides (PCAs) — aides who provide non-medical daily living support
  • Skilled nurses — for children with medically complex needs (City Choice Home Care Services coordinates with clinical providers for cases requiring nursing oversight)

For most families in New York City, pediatric home care is accessed through Medicaid or Medicaid Managed Care, which covers both HHA and PCA services for eligible children.

Learn more about HHA and PCA services
Who We Support

Children We Support

City Choice Home Care Services provides pediatric care for children with a wide range of needs, including:

  • Autism Spectrum Disorder (ASD) and developmental delays
  • Cerebral palsy and other movement or motor disorders
  • Down syndrome and intellectual disabilities
  • Medical fragility — children with complex, ongoing medical needs
  • Technology dependence — children who rely on ventilators, feeding tubes, or other medical devices at home
  • Post-surgical recovery and hospital discharge support
  • Physical disabilities requiring daily personal care
  • Behavioral support needs in the home setting

If your child’s situation isn’t listed here, contact us directly. Our intake team will assess the care needed and let you know whether City Choice Home Care Services is the right fit — or connect you with the right resource if we’re not.

Day to Day

What Our Pediatric Caregivers Do

Our certified Home Health Aides and Personal Care Aides who work with pediatric clients are matched based on experience with children, specialized training, and compatibility with your family’s needs. Day to day, they assist with:

  • Bathing, grooming, and personal hygiene
  • Dressing and mobility assistance
  • Feeding and nutrition support
  • Medication reminders (as authorized in the care plan)
  • Safe positioning and transfer for children with physical limitations
  • Accompaniment to therapy appointments and school-related activities
  • Behavioral support and structured routines
  • Companionship, play, and developmental engagement
  • Supervision and safety monitoring
  • Light household tasks related to the child’s care

All pediatric placements at City Choice Home Care Services go through an additional matching step to confirm caregiver comfort and experience with children before an aide is assigned to your family.

How It Works

How Pediatric Home Care Works at City Choice

Getting started with pediatric home care through City Choice Home Care Services is a straightforward process:

  1. Contact Us for an Intake Assessment

    Call or submit a request online. A care coordinator will reach out within one business day to gather information about your child’s diagnosis, daily needs, location, and current insurance or Medicaid plan. There is no obligation and no cost to inquire.

  2. Care Plan Review

    We review your child’s physician-ordered care plan (required for HHA services) or Medicaid authorization (for PCA services). If you don’t have a plan yet, we can guide you through the steps to obtain one.

  3. Caregiver Matching

    We identify a certified HHA or PCA with pediatric experience and match based on language, location, schedule, and the specific needs documented in your child’s care plan.

  4. Care Begins

    Most families can start care within 24 to 72 hours of completing intake. For urgent hospital discharge situations involving a pediatric patient, we coordinate with discharge planners to prioritize placement.

Medicaid

Does Medicaid Cover Pediatric Home Care in New York?

Yes. New York State Medicaid covers home care services for children who meet medical or functional eligibility criteria. This includes both Home Health Aide (HHA) and Personal Care Aide (PCA) services, depending on the child’s authorized level of care.

Most pediatric home care in New York City is coordinated through Medicaid Managed Care plans, which authorize hours based on the child’s assessed needs. City Choice Home Care Services is a Medicaid-enrolled provider and works with the major MLTC plans serving all five boroughs.

If your child has Medicaid and has been assessed for home care hours, we can accept the authorization and begin the intake process right away. If you’re unsure whether your child qualifies, our team can walk you through the eligibility process.

FAQ

Frequently Asked Questions

What is pediatric home care?

Pediatric home care is professional caregiving provided in the home for children who need ongoing support due to a medical condition, developmental disability, or physical limitation. It allows children to remain at home with their family while receiving the assistance and supervision they need from a certified caregiver.

Does City Choice Home Care Services provide care for children with special needs?

Yes. City Choice Home Care Services works with children who have a wide range of needs — including autism spectrum disorder, cerebral palsy, Down syndrome, medical fragility, technology dependence, and post-surgical recovery. Our caregivers are matched based on experience with children and familiarity with the specific care needs documented in your child’s plan.

Does Medicaid cover home care for children in New York?

Yes. New York State Medicaid covers both Home Health Aide (HHA) and Personal Care Aide (PCA) services for children who meet eligibility criteria. Most pediatric home care in New York City is authorized through Medicaid Managed Care (MLTC) plans. City Choice Home Care Services is a Medicaid-enrolled provider and accepts authorizations from the major plans serving all five boroughs.

How is pediatric home care different from adult home care?

Pediatric home care involves working with children in a developmental context — caregivers must be comfortable with children of different ages and abilities, understand behavioral dynamics, and follow care plans designed for pediatric patients. City Choice Home Care Services matches pediatric clients with aides who have specific experience with children, rather than assigning general adult-care staff.

What boroughs does City Choice serve for pediatric care?

City Choice Home Care Services provides pediatric home care throughout Brooklyn, Queens, the Bronx, Manhattan, and Staten Island, as well as Westchester County.

How quickly can pediatric home care begin?

For most families, care can begin within 24 to 72 hours of completing intake. For hospital discharge situations involving a pediatric patient, we coordinate directly with discharge planners to prioritize placement as quickly as possible.

Talk to Someone About Pediatric Home Care

If your child needs in-home support and you’re not sure where to start, City Choice Home Care Services is ready to help. Our care coordinators are experienced with pediatric cases and can walk you through Medicaid authorization, care plan requirements, and next steps — with no pressure and no obligation. Call us or submit a request online. We’ll follow up within one business day.