In-home care in the Capital Region

What kinds of home care are licensed in New York?

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

Agencies with Capital Region office addresses on the state roster include 5 certified home health agencies, 60 licensed home care services agencies and 2 hospice licenses; many serve several counties, so ask each one whether it covers your parent's town.

What does home care cost around Albany?

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.

Medicare-covered skilled home health visits cost an eligible patient nothing.

Who pays for home care?

Medicare pays for skilled home health only; Medicaid pays for aides through MLTC plans, CDPAP and PACE; EISEP helps non-Medicaid seniors on a cost-share basis; everything else is private pay or long-term care insurance.

See home care programs.

How do I choose a home care agency in the Capital Region?

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 insurance and Medicaid plans it accepts.

The state roster lists every agency's license type and office address; many serve clients across several counties.

Does home care work in rural parts of the region?

It can, but agencies have fewer aides in rural Schoharie, Washington, Columbia and Greene counties, so families there often rely on CDPAP or a mix of agency hours and family help.

Ask any agency about travel time and whether it has aides who live 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.

Where is in-home care licensed across the Capital Region?

This is how New York's roster spreads in-home care across the nine counties; agencies and hospices carry no bed count.