New York's 2025 CareScout median for adult day health care is $144/day, or about $3,120/month. In-home care runs about $35/hour. Whether Managed Long Term Care (MLTC) or the NHTD waiver helps cover either depends on the specific plan and assessed level of need.
What each actually is
Adult day health care runs on a facility's schedule -- typically weekday daytime hours -- and gives a family caregiver their day back while providing supervision, meals, and often therapy or medical monitoring on site. In-home care comes to the house on whatever schedule the family sets, from a few hours a week to around-the-clock.
Why families often combine both
A caregiver working full time might use adult day health care on weekdays and in-home care evenings or weekends -- neither option alone always covers the gap, and combining them is common rather than unusual.
Source: CareScout Cost of Care Survey
