In Home Services

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Home Care Services

Many older adults need assistance with a variety of daily tasks due to a chronic health condition or challenges with mobility or cognitive function. Home care services are available to eligible individuals whose level of functioning clearly limits, or places at risk, their ability to remain in the home or participate in family or community life, or whose ability to perform activities of daily living is limited due to frailty, disability, low income, absence of family and friends, or limited mobility. This situation could be brought on by a recent change in health, hospital stay, or chronic disability. The individuals must not be eligible to receive identical services from other sources such as Medicaid, VA, Medicare, or the Department of Social Services.

Home Care Aides help individuals with exercises, personal care such as bathing and dressing, meal preparation, light housekeeping, and assistance shopping. An OFA Case Manager partners with the individual and their support system to coordinate services and supports such as transportation to physician’s offices, home delivered meals, and application to public benefit programs.

This service is a New York State funded program called EISEP (Elderly and Expanded In-Home Services for the Elderly).

Cost Share

Clients are required to share the cost of services, based on income. These costs are determined by a sliding scale and range from no-cost to full-cost.


Respite care provides short-term relief for primary caregivers. It can be arranged for just an afternoon or for several days or weeks. 

Respite can be beneficial to…..

  • Attend to your own personal business matters
  • Allow your loved one to meet new people
  • Allow yourself time to visit with friends and/or relatives
  • “Recharge” your batteries by having time to yourself
  • Safeguard your mental and physical health
  • Prevent Caregiver “burnout!”

The Respite program is available to any caregiver who is caring for someone 60 years of age or older.  The care-receiver must reside with them and require assistance with at least 1 ADL (activity of daily living) such as dressing, eating, or walking.  All Respite services are provided by a trained, professional home care aide who often personal care during their stay with the individual. An OFA Case Manager visits the home to evaluate the needs of the caregiver and care-receiver.  The care-receiver must not be eligible to receive identical services from other sources such as Medicaid, VA, Hospice, or a long term care insurance plan.

Caregivers for Alzheimer's and dementia face special challenges

People with Alzheimer’s disease and related dementias are usually cared for by family members or friends. The majority (80%) of people with Alzheimer’s disease and related dementias are receiving care in their homes. Caregivers of people Alzheimer’s disease and related dementias need extra support. Through a partnership with the Alzheimer's Association, Central New York Chapter the Lewis County Office for the Aging can offer respite and the linkage to a network of support.