
Our programs
All of our care is led by Registered Nurses, matched by language and background, and covered by Medicaid, Medicare, or qualifying commercial plans.
Personal care and home health aide services for adults who need help with daily activities at home.
Our largest program. Trained Home Health Aides and Personal Care Aides help clients with bathing, dressing, mobility, meals, medication reminders, and daily routines — all in the comfort of home. Every plan is led by a Registered Nurse and matched by language and background.
Nursing Home Transition and Diversion waiver — community-based care for adults who'd otherwise need a nursing facility.
The NHTD waiver lets adults with chronic conditions or disabilities live independently at home or in the community instead of a nursing home. Our team coordinates service plans, helps with the application, and provides ongoing case management.
Traumatic Brain Injury waiver — specialized rehab and support for adults recovering from TBI.
The New York State Department of Health (DOH) Traumatic Brain Injury (TBI) waiver program provides services to persons with a TBI. The purpose of the program is to help persons with a TBI live in the community setting of their choice. Medicaid funds the program. Our care plans focus on rebuilding independence, cognitive function, and community participation.
Care for children and adults with developmental disabilities and pediatric clients with medical complexity.
We serve children and adults eligible through the New York Office for People With Developmental Disabilities (OPWDD), plus pediatric clients with medical complexity. At S&A Unified Home Care, we go beyond traditional caregiving by partnering with individuals and their families to deliver compassionate, person-centered support that promotes independence, dignity, and quality of life.
Every client receives a customized care plan tailored to their unique needs, goals, and preferences while ensuring compliance with OPWDD guidelines and best practices.
Our caregivers undergo comprehensive training and continuing education in developmental disabilities, behavioral support, communication strategies, and person-centered care to provide the highest level of service.
With offices located in Brooklyn, Queens, the Bronx, Staten Island, and Long Island, families have access to dependable, high-quality support throughout the region.
We are committed to maintaining the highest standards of care through ongoing supervision, quality assurance measures, and strict adherence to all state and regulatory requirements.
We believe successful care begins with strong partnerships. Our team works closely with families, care managers, and healthcare professionals to ensure seamless coordination and positive outcomes for every individual we serve.
The Office for People With Developmental Disabilities (OPWDD) offers a comprehensive range of services designed to help individuals achieve greater independence, community inclusion, and an enhanced quality of life. Together, these services are designed to support individuals with developmental disabilities in leading fulfilling, productive, and self-directed lives within their communities.
A quick side-by-side. Click a program name to jump back to its section.
| Feature | HHA / PCA Program | NHTD Waiver Program | TBI Waiver Program | OPWDD / Pediatric Care |
|---|---|---|---|---|
| Age range | Adults | 18+ | 18–64 | All ages (onset before 22) |
| Diagnosis required? | No | Nursing-home level of care | TBI or stroke | Developmental disability |
| Medicaid required? | No (Medicare, commercial, or self-pay too) | Yes (community-based) | Yes (community-based) | Yes |
| Pediatric coverage | — | — | — | Yes |
| Service coordination | RN-supervised plan of care | Full waiver service coordination | Coordinated with RRDS | Care management |
| Home modifications / assistive tech | — | Waiver-funded | Waiver-funded | — |
| Community / day habilitation | — | Community integration | Behavioral + cognitive rehab | Day Hab + Community Hab |
| Best for | Daily-living support at home | Avoiding / transitioning out of nursing home | Recovery from brain injury or stroke | Lifelong developmental support |
Inquiring about NHTD, TBI, or OPWDD waiver programs? Our waiver specialist will help you check eligibility and walk you through the application. Call (718) 980-6100.
Six neighborhoods across NYC and Long Island.