Understanding HHC-O: Funding, Services, and Eligibility

What is HHC-O?
– HHC-O stands for Home and Community-Based Services for Older Adults and Adults with Disabilities.
– It is a program that provides funding and support services to help older adults and adults with disabilities live independently in their homes and communities.
– HHC-O offers a range of services including personal care, meal delivery, transportation, and respite care.
How can I qualify for HHC-O?
– To be eligible for HHC-O, you must be an older adult or an adult with a disability who requires assistance with activities of daily living or instrumental activities of daily living.
– Eligibility is based on income and functional need, and each state may have different eligibility criteria.
– You can contact your local Area Agency on Aging or Department of Aging to learn more about the specific eligibility requirements in your area.
How can HHC-O help me?
– HHC-O can provide funding and support services to help you live independently in your own home and community.
– The program can assist with personal care, transportation, meal delivery, respite care, and other services based on your individual needs.
– By participating in HHC-O, you can receive the necessary support to maintain your independence and improve your quality of life.

What Is HHC-O?

HHC-O refers to a program run by the New York City Human Resources Administration (HRA) to provide expanded services and essentials to older adults who need financial assistance.

The HHC-O replaced the previous program, Helping Heimishe Community of New York (HHCNYC), and began accepting applications on September 1, 2024, for HHCNYC's annual payments.

It provides increased funding for home care services for eligible seniors in the city, making it possible for people to live in their homes safely and comfortably rather than in a long-term care facility.

Additionally, it offers several essential public health and nursing home alternatives that older adults require, such as transportation, meals, and more.

Have questions about Medicaid eligibility? Click here.

Components of HHC-O

The state budget for New York, for the Fiscal Year (FY) 2022-2023, included the following HHC-O components (formerly named Homebound Stipend):

Funding Standards

Qualifying HRA homecare services that meet state standards, such as those offered by CDPAP (Consumer Directed Personal Assistance Program) underneath Medicaid are to be paid at the state rate.

The new regulation makes it simpler to access homecare services, particularly for low-income individuals who require long-term healthcare in both their homes and communities.

Annual Payment for HHCNYC

HHC-O permits a one-time HHC-NYC payment for Medicaid beneficiaries with a gross monthly income lower than or equal to $2,543 (singles) and $2,943 (marital couple).

  • Nun-Dates (Levayah) $615.25
  • Shabbos Sheva Brachos $948.00
  • Pesach Shabbos from Friday Night until Motzei $466.00
  • Pesach Shemini $1,237.00
  • Pesach Motzaei Shabbos $848.00

Homecare Service and Transportation

Previously, HHCNYC provided increased financing for non-Medicaid solutions, such as meal delivery and transportation for individuals aged 60 or older.

Now, all qualified applicants may access these services from September 1, with extra funding for food and transportation in the New York State fiscal year 2023.

The HRA provides Senior Citizens Services NYS HEAP, NY Connects, and NYC Menus on Wheels, National Council of Jewish Women, and OHEL, among others.

Expenses for Staff Operations and COVID-19

Expenses associated with workers' operations who transport, manage cases, and provide direct care, as well as HRA's COVID-19 response, are now covered for fiscal 2024.


Now, qualified applicants may access the NYC Menus on Wheels program with extra funding for food expenses, beginning on September 1, 2022, during the New York State fiscal year 2023.

The funding provides seniors aged 60 and over with dietary requirements, nutrition counseling over the phone, and grocery shopping services.

Volunteers of Meals on Wheels prepare frozen, kosher, and vegetarian-dairy meals for weekly delivery, packing, set-up, bibs, dietary counseling, and health support.

Personal Emergency Response

This feature includes installing a personal emergency response system in a residence or moving seniors with different behavioral needs into permanent supportive housing spaces or joining the Bronx Homeless Support System.


Family-Based Respite

Extra funding may be granted to offer school aging homecare respite, which provides respite care to individuals at the NYC Menus on Wheels program in 2022.

This service is available to all qualified applicants from September 1, 2022, until June 30, 2023. Respite care enables households to recharge and boost their capability to care for their elderly relatives.

The NYC Menus on Wheels program's Alzheimer day care component supplies stimulation to elderly individuals and their loved ones for 6 hours each day. Alzheimer day care programs offer nearly 120 individuals.

Keynote 120 individuals are given kosher meals, enabling their loved ones to take some respite.

Managed Long-Term Care Personal Care Services

Managed Long-Term Care Personal Care Services allow qualifying seniors to access the Personal Care Added Respite for 2023 from September 1 to June 30, 2023.

HHC-O aids in serving individuals who need the services of a personal care assistant while at home.

HHC-O Funding Standards

The funding standards implemented by NYS for HHC-O cover four homecare services:

* Personal Care Program of Home Health Agencies Licensed by the NYS Department of Health

* Nurse or Home Health Aide Care Services by Agencies Certified under the NYS Department of Health

* Attendant Care Services Provided by Licensed Assistive Personnel Where the Medical Service Is Administered or Supervised by an RN or LPN

* Case Management in the Industry for Managed Long-Term Care by Affiliated Home Health Companies (AHHCs)

Eligibility for HHC-O

The homebound status of individuals 65 years of age and older determines their eligibility for the HHC-O benefits package.

For an applicant to be declared homebound, the following requirements must be met:

  • Limited ability to leave residence due to illness, infirmity, or body impairment
  • Leaving the residence requires incredible or taxing effort. Limited to leaving residence only because of illness, to obtain medical service planning, to attend religious services at a place not located in an institution of principle worship.

Applicants for HHC-O benefits must fulfill the following criteria:

  • Legal age of applicant
  • Need services with qualified providers covered by HHC-O.
  • Meet the individual criteria of the specific HHC-O program requirements to which the individual is applying.
  • Have a gross monthly income that falls within the benefit range criterion.

Payment Information and District Support Register

Information about payment and district support register for each HHC-O benefit package component are attached here.

Applying for HHC-O

To apply for services from HHCO, you will need to complete and submit an application. The following are steps for applicants onSave.ai that must be completed in order.

The first step is for the applicant or representative to answer the General Application Questions.

After completing this section, the questionnaire will ask the applicant if they are dealing with legal and financial issues or if they need assistance from a district support attorney at the Human Resources Administration (HRA).

Applicants must complete this section before proceeding to the next step. Answering yes to any question will prompt the applicant to follow up with an HRA district support register.

If the applicant is unable to proceed with their application, the following special guidelines apply:

  • The attorney must complete the Legal Intercept Questionnaire because the applicant is physically and/or mentally unable to make decisions without consent
  • Present the court order release to the HRA, district support register, attorney to continue processing
  • Note the application was stopped due to medical issues. In this case, attach a New York State Department of Health form, Authorization for Release of Health Information to the HRA District Support Register. This informs the HRA that the applicant allows the release of medical information to appropriate staff.

Finally, sign the completed form and date it.

In addition to the general application questionnaire, some benefits might have certain provisions and requirements. The applicant completes more pages in Hinayini and the Applicant Document Request.

Instructions for Applying Online

The following instructions describe the step-by-step application procedures:


Case Study: Sarah's Journey with HHC-O

Sarah is a 45-year-old single mother living in a small town in Ohio. She has been struggling with her mental health for the past few years and recently decided to seek help. However, she was concerned about the cost of therapy and medication, as she was unable to afford private healthcare.

Sarah came across an article about HHC-O and decided to explore the services they offer. She reached out to their helpline and was pleasantly surprised by the warm and helpful response she received. The representative explained the funding structure of HHC-O and assured Sarah that their services are free of charge.

After discussing her symptoms and mental health history, the representative determined that Sarah was eligible for HHC-O's services. They explained that eligibility is based on income and residency status, and Sarah met all the requirements.

Sarah was then connected with a licensed therapist who specialized in her specific mental health needs. She was able to schedule regular therapy sessions at a convenient time for her and her therapist provided her with the necessary support and guidance.

Through HHC-O, Sarah also gained access to affordable medication. The representative helped her navigate the process of applying for prescription assistance programs, ensuring that Sarah would receive the medication she needed without any financial burden.

Over the course of several months, Sarah's mental health significantly improved. She was grateful for the comprehensive support she received from HHC-O, which helped her regain stability and improve her overall quality of life.

Sarah's story is just one example of how HHC-O's funding, services, and eligibility criteria work together to provide accessible mental healthcare to those who need it most. Through their dedication and commitment, HHC-O is making a real difference in the lives of individuals like Sarah, ensuring that no one has to face mental health challenges alone.

Questions & Answers

Q.What is HHC-O?

A.HHC-O stands for “Health and Human Connections – Online.”

Q.Who can benefit from HHC-O?

A.Anyone looking for online health and human connection services can benefit from HHC-O.

Q.How does HHC-O work?

A.HHC-O provides a platform for connecting individuals with health and human services online.

Q.What makes HHC-O different from other platforms?

A.HHC-O offers a user-friendly interface and a wide range of health and human services options.

Q.How can I get started with HHC-O?

A.Simply visit the HHC-O website and follow the instructions to create an account and start using the platform.

Q.What if I have concerns about privacy on HHC-O?

A.HHC-O takes privacy seriously and has implemented robust security measures to protect user information.

Emily Sullivan, MSW, LCSW, is a licensed clinical social worker with over 10 years of experience in the field of healthcare and social services. She holds a Master of Social Work degree from a reputable university, where she specialized in gerontology and healthcare policy.

Throughout her career, Emily Sullivan has worked closely with older adults and individuals with disabilities, providing them with personalized care plans and connecting them to the resources they need. She has a deep understanding of the challenges faced by this population and is passionate about improving their access to quality healthcare services.

Emily Sullivan has conducted extensive research on home healthcare options and has been involved in the development and implementation of various programs aimed at supporting individuals in their own homes. Her expertise in funding standards and eligibility criteria for homecare services has been instrumental in ensuring that individuals receive the financial support they need to access the care they require.

As a respected authority in the field, Emily Sullivan has published numerous articles and presented at conferences on the topic of home healthcare funding and services. She is dedicated to providing accurate and reliable information to empower individuals and their families to make informed decisions about their healthcare options.

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