The Expanded In-home Services for the Elderly Program (EISEP) provides frail older adults with access to a well-planned, coordinated package of in-home and other supportive services designed to support and supplement informal care. In 2011, EISEP regulations were amended to provide a consumer-directed option. Consumer direction under EISEP is a person-centered planning approach that empowers an older adult by enabling him/her (or his/her representative) to hire, train, and oversee their in-home services worker.
The following services are provided under EISEP:
Case Management: To help older adults and their families assess their needs and develop, implement, and maintain an appropriate plan of services and how they are to be delivered. Case management brings order to the confusing array of services and benefits that an older adult might need.
In-home Services: Consisting of personal care level I and personal care level II. Personal care level I consists of assistance with Instrumental Activities of Daily Living (e.g., housekeeping, cooking, and shopping). Personal care level II is assistance with both Instrumental Activities of Daily Living and Activities of Daily Living (e.g., dressing, bathing, and transferring in/out of bed/chair).
Non-Institutional Respite: To temporarily relieve the client's primary informal caregiver from the stresses and strains associated with caregiving. Types of respite include companion services and social adult day care.
Ancillary Services: A flexible service category that includes a variety of services and goods/items designed to maintain/promote independence, support a safe and adequate living environment, and address everyday tasks.
EISEP is administered by NYSOFA using uniform statewide program regulations and is implemented locally by the 59 Area Agencies on Aging (AAAs). This program is a private-public partnership, which includes a cost-sharing element so that those who can afford to pay toward the cost of their services do so. All clients have their income protected up to approximately 150 percent of the poverty level. Clients whose monthly income exceeds this threshold are required to cost-share in accordance with a state established sliding scale.
Goals and Objectives
The overall goal of the program is to improve access to and availability of appropriate and cost effective non-medical support services for older adults with functional impairments. This program maximizes the individual’s ability to age in their community and avoid higher levels of care.
Laws, Regulations and Standards
Core Services Provided under EISEP
- Case Management: To help older persons and their families assess their needs and develop, implement and maintain an appropriate plan of services and service delivery. It brings order to the confusing array of services and benefits that are needed and available in a community to assist individuals in need of long term care.
- In-home Services: Consisting of personal care level I and personal care level II. Personal care level I provides assistance with instrumental activities of daily living, e.g., housecleaning, cooking, shopping. Personal care level II provides assistance with both instrumental activities of daily living and activities of daily living, e.g., dressing, bathing, transferring in/out of bed/chair.
- Non-Institutional Respite: To temporarily relieve the client's primary informal caregiver from the stresses and strains associated with caregiving. Types of respite include companion service and social adult day care.
- Ancillary Services: A flexible category of non-medical services, items/goods and other supports which together with other assistance are intended to provide an individual in need of long term care with the ability to remain safely in the community with an acceptable quality of life. Options are available to maintain or promote an individual's independence; maintain, repair or modify an individual's home so that it is a safe and adequate living environment; and, to address everyday tasks.
Individuals who are at least 60 years old and:
- In need of assistance with an Activity of Daily Living or two Instrumental Activities of Daily Living;
- Able to be maintained safely at home; and
- Not be eligible for the same services under Medicaid.
Several Area Agencies on Aging also provide consumer directed in-home services. Eligibility requirements include those provided above, as well as:
- Be capable of making choices regarding their In-home services;
- Be capable of hiring, training, and supervising the in-home services worker; and
- Understand the impact of their choices, and assume responsibility for the results of these choices, or delegate authority to another who is capable of these tasks.
EISEP & CSE Client Rights to a hearing: