Aging at home

with dignity.

Kris Agency is a New York State–licensed adult home care agency caring for seniors across Queens, Manhattan, Brooklyn, the Bronx, and Nassau County. Every caregiver is screened, trained, and supervised by a registered nurse — and thoughtfully matched to your family’s needs.

★ 4.9Family rating

“ This agency from the onset was extremely helpful and courteous. They have assisted an elderly in my family with a few aides over the years that were highly qualified for the required patient care services with ease and above professionalism.”
— Satisfied Client

30+

years caring for New Yorkers

4

boroughs served + Nassau County

Senior care, matched to the person — not a checklist.

From a few hours a week to continuous coverage, our caregivers are screened, trained, supervised by an nurse, and chosen for the right fit with your family.

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HHA

02

PCA

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24/7 Coverage

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What your aide does at home.

Every plan is personalized: your doctor sets the medical orders, our registered nurse builds your plan of care from those orders and an assessment of your needs, and your aide carries it out. Here’s the kind of help you can expect — and the limits that keep care safe and professional.

Step 1

Step 2

Step 3

Personal Care Aide

PCA

Bathing, dressing, grooming & oral care
Toileting & incontinence care
Safe transfers & help walking
Meal prep & help with eating — for the client
Light housekeeping & the client’s laundry
Medication reminders
Grocery shopping, errands & escort to appointments
Companionship & a watchful eye

Home Health Aide

HHA

Everything a PCA does — plus, under nurse supervision:
Assist with self-administered medications
Check & record vital signs (as trained)
Help with prescribed exercises & range of motion
Simple, non-sterile dressing changes per care plan
Support with catheter/ostomy care (as trained)
Observe & report changes in condition

Often asked — but outside an aide’s role.

Here’s a list of questions we are asked on what an aide can’t take on — and why it keeps you or your loved one and your caregiver safe. When something’s outside an aide’s scope, we’ll help you find the right person for it.

Give or push medications, or give injections — aides can remind, and HHAs can help you take meds, but a nurse administers and gives injections. Medications can be pre-set by an nurse or a family member, and your pharmacy can package doses (blister or bubble packs) sorted by time of day — AM, PM, and bedtime — so each dose is clearly labeled and easy to take.

Skilled nursing — wound care, IVs, tube feeding, suctioning — these are nursing tasks, not aide tasks.

Cook, clean, or care for the rest of the household — your aide is there for the client only.

Manage finances or make non-essential purchases — no banking, no being added to private personal accounts, and no discretionary spending like cigarettes or alcohol. Groceries, food, and errands that support daily health and living are fine.

Be paid directly or “off the books” — all pay runs through the agency.

Change the care plan or give medical advice — only the physician adjusts the plan and provides medical advice. The RN creates the care plan based on the doctors orders, and can recommend when to see medical advice

Cut toenails or do diabetic foot care — podiatrist or a specially trained registered nurse, especially with diabetes, may do this.

Drive in a personal car — aides can’t transport your loved one in their own car (agency policy and insurance), and don’t drive your loved one’s car either. For outings, use a taxi, Uber, Lyft, transit, or the bus — your aide can ride along and escort.

Heavy cleaning or chores — no moving furniture, deep cleaning, ladders, or yard work; light housekeeping in the client's frequently used areas only.

Sign or witness documents — aides can’t sign legal or financial papers, or be named in a will.

Lift or transfer unsafely — some transfers need two trained people and the right equipment. A Hoyer (mechanical) lift, for example, takes two people — never one aide alone.

Rooted in the communities that care for New York.

Our caregivers come from across the globe — Caribbean and West Indian, Filipino, South Asian, Latino, African, and far beyond — and care for people of every faith, including Jewish, Muslim, Christian, and Catholic families. Whatever your background, language, or holy days — kosher or halal, Shabbat, Sunday, or Ramadan — we honor your traditions and bring a familiar voice to the door. Everyone is welcome here.

All of our aides speak English. If you’d like a caregiver who speaks a particular language or is familiar with your customs and food, just ask — we’ll do our best where possible.

Care for every chapter of growing older at home.

An aide for your multigenerational home.

Across NYC, many families live with three generations under one roof. We send a caregiver who cares for your loved one — and only your loved one — while fitting respectfully into a busy, full household. Their meals, their routine, their day. The aide works for the client they’re assigned to, so the family gets real support without blurred lines.

Care in your home

Getting started is simple — and we stay with you.

Our intake team walks you through every step in your own language, and a care coordinator is a phone call away long after care begins.

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5 We work with your whole care circle.

However care gets arranged, we coordinate with the people who make it happen — and keep everyone on the same page.

When several people manage care.

In many families, care is a team effort — adult children, siblings, and relatives all pitching in. We welcome every helping hand. To keep care safe and consistent, we take direction from the client and their chosen representative, so instructions never conflict.

We’re glad to work with your whole family. Ultimately, though, we work with and take direction from the client and their authorized representative (health care proxy) — that protects your loved one and keeps care safe and consistent.

What to have on hand.

A little prep makes care smoother from day one. Here’s what’s helpful to gather before care begins — our intake team will walk you through all of it.

A health care proxy — who can make medical decisions if your loved one can’t

Advance directives (living will, MOLST/DNR), if any

Insurance, Medicaid, or MLTC plan cards and member info

The physician’s order / plan of care ( Form 1485 )

Emergency contacts — including an evacuation contact

Home access details (keys, building or super contact)

Power of attorney, if any (financial matters — separate from a health proxy)

Your physician’s and specialists’ names and phone numbers

Allergies and a short medical history

Daily routines, preferences, and dietary needs

What we ask of you.

Great care is a partnership. A few simple things from you help us keep it excellent — and keep your loved one safe.

If something’s wrong, tell us right away.

If a caregiver makes a mistake, or something just doesn’t feel right, call us immediately — day or night. We can’t fix what we don’t know about, and your loved one’s safety always comes first. (718) 262-9009

Keep the doctor’s order current

Home care requires a current physician’s order signed by the doctor, kept up to date through periodic doctor visits — typically every 6 to 12 months, depending on your plan — to keep services authorized. We’ll remind you when a renewal is coming due.

Zero tolerance for abuse.

Harassment, abuse, or threats — toward our caregivers or our clients — are never acceptable. To protect our team, we may immediately reassign a caregiver, and we may end services in serious cases, following proper notice and applicable discharge rules. Everyone has the right to a safe, respectful environment.

Your rights as a patient.

Before care begins, every client receives our Patient Bill of Rights in writing. These are the standards you can hold us to — what you can expect from Kris Agency, on every visit

Be informed of your rights, in writing, before care begins.

Be told in advance what your plan is expected to cover, what you may owe, and of any changes.

Take part in planning your care, and be told in advance of any changes to the plan.

Be informed of how to submit a complaint.

Privacy, including confidential records, and to refuse release of your records except as allowed by law.

Be informed of your rights, in writing, before care begins.

Know all the services we’ll provide — when, how, and the name and role of everyone giving care

Refuse care or treatment after being told the consequences.

Voice complaints and suggest changes — to us, the NYS DOH, or anyone you choose — free from interference, coercion, discrimination, or reprisal.

Be treated with consideration, respect, and full recognition of your dignity and individuality.

Refuse advanced tasks by an advanced home health aide — a registered nurse will perform them instead.

Coverage that meets you where you are.

Insurance & MLTC Plans

We work with Medicaid Managed Long-Term Care (MLTC) plans and insurance. Tell us your plan and we’ll confirm your coverage.

Single-Case Agreements

Not in-network with your plan? You can often arrange a single-case agreement with your plan, so you can still choose us.

Spend-Downs

Have a Medicaid surplus (spend-down)? We can work and also coordinate with your eldercare attorney or advisor.

Home Care Insurance

We work with many long-term care and home care insurance policies, and handle the paperwork so you don’t have to.

Private Pay

Flexible hourly and split-shift options with transparent rates — no long-term contracts required. Four (4) hour per day minimum.

VA & Veteran Benefits

We can work with your VA case manager and representative providing you and your loved one care

Note: for Medicaid & MLTC’s, your plan — not the agency — decides how many hours you’re authorized, based on a state assessment. We provide care based on those hours.

Who can be your caregiver?

In many cases, a trusted relative or friend can be employed and paid to provide care — through proper agency employment, not under the table.

Bring Your Caregiver to Us.

Already have someone you trust — an extended family member, friend, or aide? Keep them. We’ll bring them onto our team and handle the rest, the right way.

We employ your caregiver on the Kris Agency team — we become the legal employer, not you
We arrange free HHA/PCA training & certification if they need it
We handle payroll, taxes, and on-time pay
Your doctor sets the orders and our registered nurse builds and supervises the plan of care — this is agency-directed care, not self-directed
As the employer, we supervise the care and may reassign or remove a caregiver — on your behalf or the agency’s — whenever safety or quality requires it

Who can be your caregiver?

Most adult extended family members and friends can qualify. Under Medicaid rules, a spouse — or a parent caring for their own child under 21 — can’t be paid. We’ll confirm who’s eligible under your plan.

How “Bring Your Caregiver” differs from CDPAP & PPL.

CDPAP lets you self-direct your own aide, with PPL handling the payroll. With Kris, you keep the person you trust — and we run the care.

	CDPAP paid through PPL	Bring Your Caregiver To Kris Agency
Who employs & manages the caregiver	You self-direct — recruit, hire, schedule & supervise	We do — the agency is the employer
Caregiver training & certification	Not required	We train & certify them as an HHA/PCA
RN oversight & care plan	Not required	Included — nurse assessment & supervision
Backup if your caregiver is out	You arrange it yourself	We send a qualified replacement
Who can be the caregiver	Friends & many family members (not a spouse)	Most adults you trust, hired to agency standards (not a spouse or intermediate family)
Payroll, taxes & PPL registration	PPL is your required fiscal intermediary	We handle it — no PPL signup needed

PPL (Public Partnerships LLC) is New York’s single statewide fiscal intermediary for CDPAP. Click here to be directed to the NY PPL website. It processes CDPAP pay and paperwork but does not supervise care or send an aide. Both consumer-directed (CDPAP) and agency-directed home care are covered through Medicaid managed long-term care (MLTC) plans and are subject to your plan’s rules, a New York Independent Assessor evaluation, and authorization. This is general information, not legal or Medicaid advice.

Licensed, careful, and easy to work with.

Licensed & RN-supervised

Reliable, consistent Care

Electronic Visit Verification (EVV).

EVV is a federal Medicaid requirement that confirms each home care visit really happened — when, where, and what care was given. It keeps billing honest and protects clients, caregivers, and families alike.

An emergency plan for every client.

Storms, heat waves, power outages, a transit shutdown, a caregiver calling out — we plan for it before it happens. Every client has a written emergency plan on file, and our on-call team is reachable around the clock.

Every client should have an evacuation contact on file — a person who can help your loved one leave home safely if there’s ever a fire, flood, or order to evacuate. We’ll help you name one as part of your emergency plan.

Do work that matters. Get treated like it.

We’re always looking for compassionate HHAs, PCAs, and nurses across NYC — especially from the Guyanese, Jamaican, Trinidadian, Haitian, Filipino, Bengali, Latino & West Indian communities we serve. New to caregiving? We’ll help you get certified. And we protect our team — harassment or abuse toward our caregivers is never tolerated, from anyone.

Questions, answered.

Is Kris Agency licensed and compliant?

Yes. Kris Agency is a Licensed Home Care Services Agency (LHCSA) in New York State, with registered-nurse oversight of every care plan.

Can I keep the caregiver I already have?

Often, yes — that’s our “Bring Your Caregiver to Us” plan. We employ a person you already trust onto our team, arrange any needed training, and handle payroll, taxes, and on-time pay. Ask us about eligibility. In some cases we cannot hire due to restrictions or background checks.

How is this different from CDPAP or PPL?

CDPAP is a Medicaid program where you self-direct your own aide, and PPL — New York’s single statewide fiscal intermediary — handles the CDPAP payroll and paperwork. With our “Bring Your Caregiver” plan you keep the person you trust, but we become the employer: we train and certify them, direct the care through your doctor’s orders and our RN’s plan of care, send backups, and handle pay and paperwork. Because we’re the employer, we also supervise and can reassign or remove a caregiver if safety or quality requires it — this is agency-directed care, not self-directed. CDPAP offers more self-direction and broader family-caregiver options; our model takes the hiring, supervision, and paperwork off your plate. Coverage depends on your MLTC plan and assessment — we’ll help you sort out which fits.

Can I get paid to care for a family member?

Often, yes. Through our Bring Your Caregiver plan, many adult family members can be employed and paid to care for a loved one — we hire and certify them; your doctor and our RN direct the care. Under Medicaid rules, a spouse (or a parent caring for their own child under 21) can’t be paid, and coverage depends on your MLTC plan and assessment. Prefer to self-direct instead? That’s PPL, and we can point you there. Either way, we’ll help you find the right fit.

What if the caregiver I chose doesn’t work out?

You’re never stuck. If the fit isn’t right — the schedule, the personality, or the care just isn’t clicking — tell your care coordinator. We start by trying to make it work: coaching, extra training, or adjusting the care plan. If it still isn’t right, we’ll match you with another vetted caregiver, with no extra cost and no awkwardness. Your loved one’s comfort and safety come first, always.

What if you think my caregiver isn’t a good fit, but I still want them?

It depends on why. Because we’re the licensed employer, a few things we can’t bend on: if a caregiver can’t pass a background check or health screening, can’t complete the required HHA/PCA certification, or there’s a real safety concern, we can’t place them — that protects your loved one, and it’s the law. We’ll tell you plainly why, and help you find someone else right away. But if it’s a matter of fit or habits rather than safety, the choice is yours: we’ll share our honest concerns and coach where we can, and if you still want to keep them and they meet the legal and training requirements, we respect that — it’s your family’s care. If you want to keep someone we simply can’t employ as an agency, we’ll point you toward consumer-directed options like CDPAP, where you can hire and direct that person yourself.

Will the same aide always come?

You may have more than one aide. For around-the-clock or split-shift care, two or more caregivers share the schedule, and we may send a backup when your primary aide is off or out sick. We work hard to keep your care team small and consistent, so you see familiar faces.

Can I request a caregiver who speaks my language?

All of our aides speak English. If you’d also like a caregiver who speaks a particular language, or who can cook familiar foods and respect your customs, just ask — we’ll do our best when someone is available.

Does the aide help the whole household?

No — your aide is there for the client they’re assigned to. They cook for, feed, and care for your loved one specifically; they don’t cook or clean for the rest of the household. That keeps the focus where it belongs — on your loved one’s care — and it’s fair to the caregiver, too.

Can one aide care for both my parents?

Sometimes — it depends on how care is paid for and what each parent needs at the same time. On Medicaid or MLTC, your mom and dad each have their own assessment, plan of care, and authorized hours, and an aide generally can’t be paid by both plans for the same hour — so one aide can’t cover two separate Medicaid authorizations at once. Safety matters too: if both need hands-on help at the same moment — a transfer, toileting, or a fall — one aide can’t be in two places. Where one aide does work: private pay (a couple can share an aide, especially for lighter needs), or sequencing one aide across each parent’s separate hours. Each parent’s assessment and plan decide what’s safe and how the hours work.

Do you offer 24-hour care?

For round-the-clock needs we use split-shift care — two caregivers share the day — rather than one aide working a continuous 24-hour shift. It means someone rested and attentive is always with your loved one, which is safer and more consistent.

What’s the difference between an HHA and a PCA?

A Personal Care Aide (PCA) helps with daily living — bathing, dressing, meals, light housekeeping. A Home Health Aide (HHA) has additional training and can also assist with health-related tasks like medication reminders. We’ll help you choose the right level.

How can I pay for care?

We accept private pay, long-term care and home care insurance, and Medicaid spend-downs, and we work with Managed Long-Term Care (MLTC) plans and insurance. If we’re not in-network with your plan, we can often arrange a single-case agreement so you can still choose us. Not sure what fits? Our intake team will walk you through your options at no cost.

How many hours of care do I get — and who decides?

For Medicaid and MLTC, the number of authorized hours is set by your plan — not by Kris Agency — based on an independent state assessment (through the New York Independent Assessor) and your doctor’s order. We provide care for the hours you’re approved for. If you believe you need more, we can help you request a reassessment or appeal through your plan. If you’re paying privately, you simply choose the hours that work for you.

I want to become a caregiver — where do I start?

Reach out below or call us. If you’re certified, we’ll match you with shifts near home. If you’re new, our certification program helps you become a PCA or HHA and begin your career.

Let’s find the right care — together.

Tell us a little about your situation and our care team will reach out, usually the same day.

Request care or apply

No obligation. We’ll explain your options clearly.

By submitting, you agree to be contacted by Kris Agency. We respect your privacy.

Aging at home

with dignity.

30+

4

Senior care, matched to the person — not a checklist.

01

Home Health Aides (HHA's)

HHA

02

Personal Care Aides (PCA's)

PCA

03

Nursing & RN Oversight

04

Companion & Homemaking

05

Around-the-Clock Care

24/7 Coverage

05

Memory & Specialized Care

What your aide does at home.

Your Doctor

Our Registered Nurse

Your Aide

Personal Care Aide

PCA

Home Health Aide

HHA

Often asked — but outside an aide’s role.

Rooted in the communities that care for New York.

Care for every chapter of growing older at home.

Seniors aging in place

Recovery after hospital

Chronic & complex needs

Memory & dementia care

Disability support

Veterans & Military Families

An aide for your multigenerational home.

Getting started is simple — and we stay with you.

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Reach out

2

Check coverage

3

Home assessment

4

Meet your caregiver

5

Care begins

We work with your whole care circle.

Individuals

Loved Ones & Families

Legal Guardians

Caseworkers & Care Managers

When several people manage care.

Name a primary contact

Everyone stays informed

The client & proxy decide

What to have on hand.

What we ask of you.

If something’s wrong, tell us right away.

Tell us how it’s going

Report concerns promptly

Respect goes both ways

Keep care info current

Keep tasks in scope

Pay through the agency

Keep the doctor’s order current

Zero tolerance for abuse.

Your rights as a patient.

Coverage that meets you where you are.

Insurance & MLTC Plans

Single-Case Agreements

Spend-Downs

Home Care Insurance

Private Pay

VA & Veteran Benefits

Who can be your caregiver?

Bring Your Caregiver to Us.

Who can be your caregiver?