Home Care in Rochester, NY: NHTD Waiver, MLTC, and PCA Options Explained
Rochester and Monroe County have seen rapid expansion in home care services. Here is a guide for families and caregivers navigating the options in the Rochester region.
Monroe County, NY is one of the fastest-growing home care markets in upstate New York. With a large senior population and growing disability services sector, demand for qualified caregivers continues to outpace supply.
Programs Available in Rochester
Three primary Medicaid programs fund home care in the Rochester region:
1. NHTD Waiver (Nursing Home Transition and Diversion)
For adults 18+ with physical disabilities. Provides personal care, assistive technology, home modifications, and more. Priority Cares is a licensed NHTD provider in Monroe, Livingston, Ontario, Genesee, Orleans, and Wayne counties.
2. MLTC (Managed Long-Term Care)
For seniors 18+ who need more than 120 days of community-based services. Managed through health plans like Centers Plan, VillageCareMAX, and others.
3. PCA (Personal Care Aide)
For Medicaid-eligible individuals who need assistance with daily activities but do not qualify for higher levels of care.
Caregiver Demand in Rochester
Monroe County has a 23% caregiver shortage as of 2026. This means shorter hiring timelines and more open positions than anywhere else in upstate NY.
For Families
If you are looking for home care services in Rochester or surrounding counties, call Priority Cares at (585) 201-7179. We serve Monroe, Livingston, Ontario, Genesee, Orleans, and Wayne counties.