In-home care in the Mid-Hudson

What kinds of home care are licensed in New York?

New York licenses certified home health agencies, which provide Medicare- and Medicaid-certified skilled visits, and licensed home care services agencies, which supply aides and nurses paid privately or through Medicaid plans.

The state roster shows 4 certified home health agencies, 33 licensed home care services agencies and 2 hospice licenses with office addresses in Dutchess or Orange; most travel well beyond their office town, so ask each one whether it covers your parent's address.

What does home care cost in the Hudson Valley?

CareScout's 2025 New York median for a non-medical caregiver is $35 an hour, about $6,673 a month at 44 hours a week; no Dutchess or Orange figure is published.

Agencies usually set a minimum shift length, often three or four hours.

Who pays for home care?

Medicare covers intermittent skilled home health; Medicaid covers aides through Managed Long Term Care plans and CDPAP; the Offices for the Aging run EISEP for people above Medicaid; the rest is private pay or long-term care insurance.

See home care programs.

When is home care not enough?

Home care stops being enough when help is needed at unpredictable times through the night, when the cost of the hours passes what a residence would charge, or when the person is isolated even with aides coming in.

At that point, compare assisted living, including Medicaid Assisted Living Program beds, which are relatively common in the two counties.

How do we choose a home care agency in the Mid-Hudson?

Ask whether the agency is a certified home health agency or a licensed home care services agency, how it screens, trains and supervises aides, how it covers call-outs and snowstorms, and which Medicaid plans and insurers it works with.

The state roster lists each agency's license type and office address; many serve both counties.

Is home care harder to find in rural parts of the two counties?

Often, yes: in the Harlem Valley, northern Dutchess and western Orange, agencies have fewer aides nearby, so families tend to combine agency hours, CDPAP and family help.

Ask any agency how far its aides travel and whether it has someone living near your parent.

What is adult day health care?

Adult day health care is a licensed medical day program with nursing, therapy, meals and activities, covered by Medicaid for eligible people and often used to give family caregivers a break.

New York's 2025 median is $144 a day.

How is in-home care licensed across Dutchess and Orange?

This is how New York's roster divides in-home care between the two counties; agencies and hospices carry no bed count.