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Pediatric Home CareChildren with Developmental Disabilities
Home Care for Children with Developmental Disabilities

Help at home for your child — covered by Medicaid.

Many children in New York with developmental disabilities, including autistic children, need help with everyday activities like bathing, dressing, eating, moving safely, and toileting. A certified home health aide can provide that care at home — and in many cases, a family member or friend can be the one to provide it.

What this page covers

Services that complement the OPWDD Waiver.

On this page we discuss home care services that developmentally disabled children may receive in addition to the services they receive through the OPWDD Waiver. These services help with activities of daily living and are covered by Medicaid.

A child can receive this care while remaining fully enrolled in the OPWDD Waiver — there's no need to choose between them. The two work side by side.

What a home health aide helps with

Everyday care, handled with dignity.

Children can receive care from a certified home health aide (HHA), who provides help with activities of daily living (ADLs):

Bathing Dressing Eating Transferring & mobility Toileting

Children may also receive therapy services, including occupational therapy, physical therapy, and speech therapy.

Qualifying conditions

Disabilities that may qualify a child.

New York State eligibility guidelines specifically mention the following disabilities:

Intellectual disability
Cerebral palsy
Epilepsy
Neurological impairment
Familial dysautonomia
Prader-Willi syndrome
Autism

Not sure if your child's diagnosis qualifies? Call us — we'll help you find out.

Documents needed to move forward

What to gather for the application.

To move forward with the OPWDD application, these are the documents we'll need to submit. Don't worry if you don't have everything yet — we'll help you track down what's missing.

Psychological evaluation
Completed within the last 3 years
Psychosocial evaluation
Completed within the last 1 year
Physical examination
From within the last 1 year
Social Security card
Picture or scan, front and back
Most recent IEP
Individualized Education Program, in PDF format
Insurance / Medicaid card
Picture or scan, front and back
All documents are needed in PDF format.

If you have any additional questions, please don't hesitate to reach out. Call us at (929) 333-3955 or email info@ameliahomecareny.com — we're happy to walk you through it.

A trusted face

Someone your child already knows can provide the care.

Most family members and close friends can become the certified home health aide who cares for your child — someone your child already trusts, instead of a stranger at the door.

Grandparents Adult siblings (18+) Aunts & uncles Nieces & nephews Family friends
One exception: a child's parents and legal guardians cannot work as the paid home health aide.

Every caregiver — family or not — must be a certified Home Health Aide. That's what New York requires, and it's what makes the care genuinely skilled. Amelia connects your family member to a state-approved training program, pays for the certification course, and handles the paperwork. And if no one in your family is able to certify, we'll send a trained home attendant from our own team.

See if your family qualifies
Common questions

Questions families often ask.

Who pays for these home care services?

These home care services are covered by Medicaid.

Are these home care services part of the OPWDD Waiver services?

No. These services complement services provided by the OPWDD Waiver but are covered by Medicaid separately — not under the OPWDD Waiver.

Do I need to disenroll from the OPWDD Waiver to access these services?

No. You can access these services while remaining enrolled in the OPWDD Waiver. These services complement services provided by the OPWDD Waiver but are covered by Medicaid separately.

What are examples of disabilities for which a child may be approved for OPWDD services?

New York State eligibility guidelines specifically mention the following disabilities: intellectual disability, cerebral palsy, epilepsy, neurological impairment, familial dysautonomia, Prader-Willi syndrome, and autism.

What types of home care services can children receive?

Children can receive care from a certified home health aide (HHA). Home health aides provide help with activities of daily living (ADLs) such as bathing, dressing, eating, transferring (mobility), and toileting. Children may also receive services such as occupational therapy, physical therapy, and speech therapy.

Can an autistic child receive a Home Health Aide (HHA) in NYC and NY State?

Yes. An autistic child can receive care from a home health aide (HHA) in NYC and NY State.

Can a family member or friend be the home health aide who provides the care?

Most family members and friends can be the home health aide (HHA). However, parents and guardians cannot work as the home health aide. Every caregiver must complete New York State HHA certification — Amelia connects the family member to a state-approved training program and pays for the certification course.

In which areas can you help with this service?

We can help with this service throughout New York City — all five boroughs: Brooklyn, Bronx, Manhattan, Queens, and Staten Island — and Westchester County.

Get started

Let our friendly staff help you.

We'll help you get home care for your child with a developmental disability — whether that means helping a family member or friend get paid as the caregiver, or sending a trained home attendant from our team.