Rochester Senior AdvisorWhat is EISEP, and who runs it in Monroe County?
The Expanded In-home Services for the Elderly Program (EISEP) is a state program for people 60 and older who need help at home but are not on Medicaid; in Monroe County the Office for the Aging contracts it to Catholic Charities Family and Community Services, (585) 262-7060, which provides case management and arranges aide services.
There is no cost for participants under certain income guidelines and a cost share above them. Ontario, Wayne, Livingston and Orleans residents apply through their own county Office for the Aging.
What is CDPAP, and what changed in 2025?
The Consumer Directed Personal Assistance Program (CDPAP) lets a Medicaid recipient hire and direct their own aide, who can be a family member other than a spouse, and since 2025 every participant is served by a single statewide fiscal intermediary, Public Partnerships LLC (PPL), which handles payroll.
Hours are authorized by the person's Medicaid plan after an assessment. Families who used a local fiscal intermediary before 2025 had to register with PPL to keep services.
What does NY Connects do?
NY Connects is New York's free information and assistance service for long-term services and supports; in Monroe County it is reached at (585) 325-2800, and statewide at 1-800-342-9871, and it screens callers for programs and helps with applications.
The county Offices for the Aging run NY Connects in Livingston (888-443-7520), Wayne (315-946-5624), Ontario (585-396-4040) and Orleans (585-589-3191). It is the best first call when a family does not know which program fits.
How do Medicaid recipients get home care hours?
A Medicaid recipient who needs personal care at home gets an assessment through the New York Independent Assessor Program (855-222-8350), then services through a Managed Long Term Care plan or, for some people, fee-for-service Medicaid, which sets the weekly hours.
If the authorized hours seem too low, the person can ask the plan for a reassessment and has appeal and fair hearing rights. PACE, through ElderONE in Monroe, Ontario and Wayne, is an alternative that bundles home care with medical care.
Are there programs for family caregivers around Rochester?
Yes; Lifespan of Greater Rochester's Caregiver Resource Center, (585) 244-8400, offers caregiver training, the Powerful Tools for Caregivers workshop, information and respite help, and the Monroe County Office for the Aging funds social adult day and respite services.
The Office for the Aging also lists social adult day programs and caregiver support groups. Respite, even a few hours a week, is often what keeps home care workable.
At a glance
| These programs do | These programs do not | |
|---|---|---|
| EISEP | Help non-Medicaid seniors 60+ at home | Provide unlimited hours |
| CDPAP | Pay a chosen aide through PPL | Pay a spouse |
| MLTC | Authorize Medicaid home care hours | Start without an assessment |
| NY Connects | Screen and refer for free | Provide care directly |
Sources include the N.Y. Social Services Law and Public Health Law, 18 NYCRR Parts 487-494, 10 NYCRR Parts 415 and 1001, Department of Health GIS messages, CMS, the VA and CareScout, as cited above; see our editorial standards.
