Home-Enabling Supports NY

Service categories

The three service categories, in detail

HES covers three service categories: assistive devices, remote supports, and 24/7 telehealth. A plan can use one, two, or all three — the combined total counts against one annual cap.

Jump to a category

Assistive Devices & Technology

Available to people of any age, this category covers everything from a smartwatch that detects a fall to a magnetic switch cover that lets someone control a lamp without learning a new device.

Stationary vs non-stationary

ADM 2024-02 splits the devices into two acquisition modes:

  • Stationary devices — installed in the home or worn, purchased outright. Sensors, wearables, dispensers, switch covers.
  • Non-stationary devices (laptops, tablets) — must be billed as a managed service or lease. Outright purchase of phones, laptops, tablets, and non-specialized watches is excluded.

What's typically funded

  • Smartwatches with fall, seizure, or activity monitoring
  • Door, motion, water, stove, and smoke sensors
  • Medication dispensers with cellular reminders
  • Adaptive mobility, positioning, and transfer equipment
  • Augmentative communication devices and apps
  • Smart-home automation that supports independence

Remote Supports

Live, two-way, real-time supervision or coordination from an off-site Remote Support Base. Used to extend independence overnight, during specific high-risk windows, or to reduce reliance on in-person staff.

Four delivery modes

ADM 2024-02 names four types of Remote Supports:

  • Active On-Demand
  • Active Support
  • Scheduled Check-In
  • Random Check-In

Each is defined in the ADM 2024-02 glossary attachment (opens in new tab); the HES Provider determines which mode (or mix) fits during its assessment.

Health Assessment & Coordination Services (HACS)

24/7 consultive telemedicine staffed by clinicians specifically trained in intellectual and developmental disability. Available to people of any age. HACS exists to help the person and their caregivers decide when to seek in-person care — often avoiding an unnecessary ER visit, and providing a "warm handoff" to the receiving provider when in-person care is the right call.

What HACS typically includes

  • On-demand video consultations
  • Urgent-care triage at any hour
  • Behavioral health and psychiatric consultation by I/DD-trained clinicians
  • Care coordination across the person's providers
  • Documentation that can travel with the person to the ER if escalation happens

Next: funding & costs — the annual cap and what HES will not pay for.

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