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MRT 61 — Home Care Worker Wage Parity (Minimum Rate of Total Compensation)

New Yorksub_regulatoryNew York State Department of Health, Medicaid Redesign Team / Office of Health Insurance Programs· effective 2024-01-01

What this rule requires your agency to do

  • 1The benefit portion may be provided in cash or through benefits such as health, education, or pension contributions, wage differentials, supplements in lieu of benefits, and paid time off, determined in coordination with the New York State Department of Labor.(MRT 61 — Home Care Worker Wage Parity (Minimum Rate of Total Compensation))
  • 2The base wage must be set at the current State Minimum Wage for the region.(MRT 61 — Home Care Worker Wage Parity (Minimum Rate of Total Compensation))
  • 3For all periods on or after January 1, 2024, the benefit portion must be at least $2.54 per hour in the New York City Region and at least $1.67 per hour in Nassau, Suffolk, and Westchester Counties.(MRT 61 — Home Care Worker Wage Parity (Minimum Rate of Total Compensation))
  • 4Cash wages that result from increases in state or federal minimum wage cannot count toward the supplemental benefit portion.(MRT 61 — Home Care Worker Wage Parity (Minimum Rate of Total Compensation))
  • 5Under Public Health Law 3614-c, home care aides working on Medicaid-funded jobs in the New York City region and in Nassau, Suffolk, and Westchester counties must be paid both a base wage and a supplemental benefit portion to meet the minimum total compensation requirements.(MRT 61 — Home Care Worker Wage Parity (Minimum Rate of Total Compensation))

Applies to: personal care

DOH guidance implementing Public Health Law 3614-c that requires home care aides on Medicaid-funded jobs in the NYC region and Nassau, Suffolk, and Westchester counties to be paid a base wage plus a supplemental benefit portion meeting a minimum total compensation rate, and sets the current benefit-portion amounts.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.