Home Care on Staten Island: A Local Family Guide
Staten Island has more homeowners and multi-generational households than any other borough — and many families who want to keep aging parents at home. Here’s how to arrange home care on Staten Island.
- Home care lets Staten Island seniors stay in their own homes instead of moving to a facility.
- Medicaid covers home care for eligible residents, often at no cost, through a Managed Long-Term Care plan.
- Staten Island’s geography makes local staffing especially important for reliable, on-time care.
Staten Island is the most suburban of New York City’s five boroughs — a place of single-family homes, driveways, and families who have lived on the same block for generations. When an aging parent needs more help, most Staten Island families would much rather keep them at home than move them into a facility. Advantage Home Care helps make that possible across the borough.
Home Care Services on Staten Island
We provide the full range of in-home support for seniors and adults with disabilities:
Why Local Staffing Matters on Staten Island
Staten Island is spread out and less served by subway than the other boroughs, so a caregiver’s location makes a real difference in whether they arrive on time and can be replaced quickly when needed. We prioritize matching Staten Island families with caregivers who can reliably reach them, and our aide network includes speakers of Italian, Spanish, Russian, and more than 20 other languages spoken across the borough.
Our care coordination team manages the whole relationship — scheduling, plan changes, and coordination with local doctors and hospitals — so families aren’t left handling the logistics alone.
How Medicaid Home Care Works on Staten Island
For most families, Medicaid pays for home care on Staten Island — often fully. With the right help the process is manageable: confirm Medicaid eligibility (a spend-down or pooled income trust can help those over the income limit), enroll in a Managed Long-Term Care plan, complete an in-home nurse assessment, and choose your agency. Families who need care right away can begin with private pay while the application is pending.
Areas We Serve on Staten Island
We serve the North Shore, Mid-Island, and South Shore — including St. George, New Brighton, West Brighton, Port Richmond, New Dorp, Great Kills, Tottenville, Annadale, and the surrounding communities. We also serve families across all five boroughs, including Brooklyn and beyond.
Live on the South Shore? See our local guide to home care in Great Kills, New Dorp and the South Shore — including how caregivers reach every neighborhood by car.
Frequently Asked Questions
Is there a home care agency that serves Staten Island?
Yes. Advantage Home Care serves the whole of Staten Island — North Shore, Mid-Island, and South Shore — with local caregivers and hands-on care coordination, Medicaid-funded or private pay.
Does Medicaid cover home care on Staten Island?
Yes. For eligible residents, Medicaid covers personal care aide and home health aide services, typically through a Managed Long-Term Care plan, often at no cost to the family.
How quickly can home care start?
Private pay care can usually begin within 24–48 hours. Medicaid-funded care takes longer because of eligibility and assessment, so starting early helps.
Medicaid Home Care on Staten Island: Quick Answers
How do I get Medicaid home care on Staten Island?
The same New York path applies: active community Medicaid, an NYIA assessment, enrollment in an MLTC plan, then a licensed agency staffs the hours. Advantage Home Care serves every Staten Island neighborhood from St. George to Tottenville and helps with each step. Call 718-375-2707.
Do you have caregivers in Great Kills, New Dorp and the South Shore?
Yes. Our Staten Island aides cover Great Kills, New Dorp, Eltingville, Annadale, Tottenville and the North Shore. See our Great Kills, New Dorp and South Shore guide.
How do I find a good home care agency on Staten Island?
Confirm the agency is licensed in New York, ask how caregivers are matched and supervised, and check that it works with your payment route — Medicaid, an MLTC plan or private pay. One phone call should get you clear answers with no commitment.
Do I need an HHA or a PCA?
A PCA helps with daily living — bathing, dressing, meals and mobility. An HHA does all of that plus basic health monitoring under nurse supervision. The Medicaid assessment and your needs determine which fits, and we help you sort it out.
Do you have caregivers who speak my language?
Yes — we match Staten Island families with caregivers who speak Spanish, Russian, Italian and other languages whenever possible. It is one of the first things we ask about.
Trusted Home Care Across Staten Island
Call 718-375-2707 or reach out online, and we’ll help you understand your options and get a trusted local caregiver in place anywhere on Staten Island.