Joe Robach and his office know that finding health-related services can be a daunting challenge for many seniors citizens.  The following information provides basic details about many important programs.  For more detailed information, seniors can contact Joe Robach’s office.

Nursing Home Without walls

This program is an alternative for patients who medically qualify for nursing home care but who prefer to remain at home.  Now available in many communities, the Nursing Home Without Walls program provides both Medicaid and private-pay patients with extensive in-home health service administered by health agencies, residential health care facilities, certain adult homes and hospitals.


Hospices provide care for the terminally ill at home, which helps preserve the comfort and dignity of the patient while involving the patient’s family.  They may be operated by home care agencies, hospitals, nursing homes or other health care providers or community groups.  Hospices may provide doctors, nurses and home health aides 24 hours a day, 7 days a week.  Counseling is also available to assist families in bereavement and other stressful periods.  The cost of hospice care generally is reimbursed by private insurance companies, Medicaid and Medicare. Go to for more information about hospice services.

Expanded In-Home Services for the Elderly Program (EISEP)

The need for institutional or nursing home care in part be prevented when certain nonmedical services are provided in the home.  EISEP provides funding for a uniform system of in-home case management, non-institutional respite and other services for seniors who need long-term care but are not eligible for Medicaid.  Those who are able, share costs for services based on their ability to pay. More information can be found by visiting and clicking on the Medicaid link.

Long Term Care Insurance

Through the New York State Partnership for Long Term Care, the Medicaid program can help you or a family member pay for nursing home or home health care costs without exhausting all your life savings.  If you purchase affordable private long term care insurance that has been specifically approved for the Partnership program, the insurance must cover at least three years of nursing home or six years of home health care or an equivalent combination of both.  Once the minimum benefit duration is reached, an income eligible policy holder will qualify for Medicaid extended coverage for the remainder of his or her life without consideration of his or her assets.
 For more information, contact the Partnership program at 1-888-697-7582. You can also visit the NYS Department of Services on the internet at: or call 1-800-342-3736. You may also be eligible for a state and federal tax deduction if you purchase private long term care insurance.

Respite Care

Respite provides temporary rest periods for families who care for elderly or disabled relatives.
Temporarily in-home and out-of-home services can be provided by qualified community and public agencies, nursing homes and other health care providers for families who need a “time-out” from the stress of full-time care of the elderly or disabled.

Alzheimer’s Disease Assistance Centers

There are nine centers in New York State that provide services to Alzheimer’s victims and their families, including disease identification, care planning and counseling. A listing of these centers is available through the NYS Health Department’s web site at : or contact the department in writing at:
 Bureau of Chronic Disease Services
 New York State Department of Health, ESP
 Corning Tower, Albany, NY 12237-0678

Nursing Homes

Nursing homes are licensed by New York State.  If a nursing home is not state licensed, or if the license is not current, don’t consider it.  All nursing homes receiving Medicare and Medicaid funds are required to make copies of findings of their most recent inspections available to the public.  Ask to see these reports and all licensees and certificates.  It’s your right by law.  It is also important to know that a married person requiring nursing home care can be eligible for Medicaid without impoverishing his or her spouse. State law allows the marriage partner remaining at home to retain a set amount of assets and monthly income. The home itself, if it is not the primary residence, is an exempt resource.

State Office for the Aging Nutrition Program for the Elderly (NPE)

This program helps provide hot, balanced meals to senior citizens in every county and Indian nation of the state.  The meals are served at local community gathering places.  Efforts are made to identify persons unable to reach these meal sites and to provide them with transportation.  In addition, senior  citizens who are unable to leave their homes can have their meals delivered to them.  Anyone over 60 years of age and their spouses and disabled dependents are eligible to take part in this program, and no one is turned down because of inability to pay.  The services provided by the NPE are made available through local Offices for the Aging, which serve all New York State counties.  These local offices are listed in the community services or local government pages of most telephone books.  On the internet, visit the Office for aging at:

For more information about senior initiatives, contact the office of Joe Robach.