Specialized services that support your child’s health, development, comfort, and quality of life.
Developmental services that support growth, learning, and milestone achievement in young children.
Skilled nursing and in-home care tailored to your child’s unique medical needs.
Home and Community Based Services that help children receive care and support while remaining safely at home.
Paediatric palliative care is specialised medical care layered on top of the treatments your child is already receiving. Under the New York Children’s 1915(c) HCBS Waiver and federal paediatric concurrent-care rules, families do not have to choose. Doral’s team works alongside your child’s oncologist, neurologist, cardiologist, or pulmonologist to relieve symptoms, support decision-making, and make home life as gentle as possible.
It is not hospice. Hospice is a specific benefit for adults with a six-month prognosis. Paediatric palliative care has no such gate, a child can receive it for months or for years.
We support children ages 0 through 20 living with serious, complex, or life-limiting conditions across New York. Our team brings expert symptom management directly to your family, whatever your child’s diagnosis.
We support children ages 0 through 20 living with serious, complex, or life-limiting conditions across New York. Our team brings expert symptom management directly to your family, whatever your child’s diagnosis.
Our paediatric team comes to you, across all five NYC boroughs and Long Island, and works on the symptoms that hurt most and the fears that keep you up at night.
Thorough pain assessment plus a written plan you can follow at 2 a.m. for acute crises and day-to-day management.
Positioning, bracing, baclofen titration, and botulinum coordination, practical, hands-on support in your home.
Feeding intolerance for G-tube, J-tube, and TPN-dependent children. Constipation, nausea, and vomiting management that is practical, not theoretical.
Sleep strategies before adding another medication. Dyspnoea and air hunger managed with comfort-first protocols.
Beyond the four pillars above, our team addresses the full range of challenges your child may face — so you are never navigating alone.
When seizures stop responding, we help identify what changes, and support you through those conversations.
Recognising fatigue in your child, and working with it rather than against it, through practical, evidence-based strategies.
Reading nonverbal children, supporting verbal ones, and helping the whole family process fear and uncertainty.
Clear guidance on what to watch for and what to ask, so you feel confident managing your child’s regimen at home.
Doral coordinates funding so your family can focus on care, not paperwork. Most families pay nothing out of pocket.
Concurrent palliative + curative care, respite, and family support under the 1915(c) waiver.
Medicaid and Medicaid Managed Care cover paediatric palliative services for eligible children.
We accept most commercial plans and work with your insurer directly to confirm coverage.
Not yet on the Children's Waiver? Our care managers will help you apply. Typical approval is 30–60 days, and palliative services can begin before approval through interim coverage.
Brooklyn-rooted, multilingual, and concurrent-care fluent. Every member of our paediatric team is chosen for clinical excellence and the ability to sit with a family in hard moments.
Paediatric-board-certified medical director guiding your child's overall care plan.
Home health nurses and nurse practitioners available 24/7 on-call for urgent symptom needs.
Supporting your child's emotional well-being through play, preparation, and coping strategies.
Navigating insurance, benefits, and family stress, a steady advocate from day one.
Providing therapeutic massage to reduce pain, ease muscle tension, and improve comfort for children with complex medical needs.
Helping children and families express emotions, build coping skills, and process difficult experiences through creative therapies.
Palliative care is layered on top of treatment, has no prognosis requirement, and can continue for years. Paediatric hospice is comfort-only care for the final months, and even then, children do not need to stop curative treatment under federal concurrent-care rules.
No. Under the NY Children’s HCBS Waiver and federal rules, your child can receive palliative care alongside chemotherapy, transplant, seizure management, any curative treatment, without interruption.
Most families pay nothing. Coverage comes from the NY Children’s 1915(c) Waiver, Medicaid (EPSDT), most commercial insurance, and philanthropic funds for any remaining gaps.
First visit within 24–72 hours of referral. After enrolment, 24/7 phone access and same-day visits for symptom emergencies.
All five NYC boroughs, Brooklyn, Queens, the Bronx, Manhattan, Staten Island plus Long Island (Nassau and Suffolk counties).
Any serious or complex paediatric condition: neurological, genetic, cardiac, pulmonary, GI, renal, oncological, or haematological. We work alongside your child’s existing specialist team.
Yes. Doral cares for patients ages 0 through 20 under the New York Children’s Waiver, no transition required until after their 21st birthday.
Our team comes to you, in every borough and across Long Island. Wherever home is, we will find you.
If your child is at home and uncomfortable tonight, call us now. You do not have to wait until morning.
Referring a patient? Our referral form is at doralhw.org/refer. First visit within 24–72 hours of referral.
Our intake team responds within hours, not days.
Care managers handle insurance and waiver paperwork on your behalf.
First visit within 24–72 hours. Your child’s comfort plan begins the same day.
24/7 access, coordinated with your existing specialists, from that day forward.
Just write what you want and you will find it.
Complete this short form and our intake team will contact you to discuss next steps.
