New York’s Expanded In-home Services for the Elderly Program (EISEP)

The New York State Office for the Aging administers the Expanded In-home Services for the Elderly Program (EISEP) to help older adults remain safely in their homes by providing non-medical support that delays or prevents institutional care. For New Yorkers aged 60 and over who are not eligible for similar Medicaid benefits, EISEP offers a tailored approach to aging in place with dignity and independence.

What EISEP Provides

EISEP’s services are designed to meet the needs of individuals who can live at home safely with support:

• Case Management: A dedicated case manager assesses needs, develops a care plan, coordinates services, and monitors ongoing changes.
• In-home Assistance:
  • Personal Care I covers help with housekeeping, shopping, and meal preparation.
  • Personal Care II adds assistance with bathing, dressing, and grooming.
• Respite Services: Temporary relief for caregivers through in-home aides or adult day programs.
• Ancillary Support: Access to home modifications, assistive devices, and emergency response systems to increase safety and independence.

Eligibility Requirements

To qualify for EISEP, an individual must:

• Be 60 years of age or older.
• Require help with at least one Activity of Daily Living or two Instrumental Activities of Daily Living.
• Be able to live safely at home with the support provided.
• Not qualify for similar services through Medicaid.

These criteria ensure that the program targets older adults with unmet needs who might otherwise be at risk of institutional placement.

Cost and Administration

EISEP operates on a cost-sharing basis, with fees determined by income. While case management is generally free, other services may require contributions based on a sliding scale. Counties and local Area Agencies on Aging manage the program, allowing them to adapt services to local community needs. For example, EAC Network in Nassau County provides case management, home care aides, and caregiver respite funded by county and state resources.

How to Apply

Interested individuals or caregivers can start by contacting their county’s Area Agency on Aging or NY Connects at 1-800-342-9871. An intake worker will guide applicants through eligibility screening and the assessment process.

Takeaway

EISEP is a critical lifeline for older New Yorkers who need non-medical support to remain at home but lack Medicaid coverage. By combining case management with targeted in-home and ancillary services, the program helps preserve independence while easing the burden on caregivers.