What Is the CDPAP Program?

The Consumer Directed Personal Assistance Program (CDPAP) is part of the Medicaid plans in New York that focuses on consumer direction. Based on self-direction, the concept gives people with chronic illnesses or physical disabilities a more significant role in their home care. The CDPAP is for people covered by Medicaid who need personal assistance with everyday activities of daily living. It allows them to choose their home attendant or personal assistants rather than having agency workers come into the home. The individuals providing the home health care may be family members or friends or anyone who meets the plan limitations.

How Does the CDPAP Work?

Under the CDPAP plans, the client takes responsibility for choosing, training, and supervising the caregivers. The personal assistance the caregivers provide is called Consumer Directed Personal Assistance Services (CDPAS). The CDPA home care program’s goal is to provide a source of income for a caregiver who has to leave a job to take care of a loved one. The CDPAP can pay an adult son or daughter over 21 or another friend or family member to provide care. However, the home health care provider cannot be a spouse.

Ordinarily, the caregiver cannot be another adult who lives in the home with the consumer. However, if the level of care requires the caregiver to move in with the consumer, then it may be approved. According to CDPA regulations, “a consumer-directed personal assistant may include any other adult relative of the consumer who does not reside with the consumer or any other adult relative who resides with the consumer because the amount of care the consumer requires makes such relative’s presence necessary.”

What Are the Advantages of the CDPAP?

Consumers who qualify for the Consumer Directed Personal Assistance Program find a great deal of peace of mind and improved quality of life in hiring friends or family members to provide personal care. For many people, having individuals from a home health agency come into the house to provide personal care is uncomfortable. Also, many consumers feel that they lack control of their health care when agencies decide who to send and what services to provide. With CDPAP, the client is self-directing and retains a great deal of control. Finally, the CDPAP is a far less expensive home care option for the Medicaid program than an assisted living facility, skilled nursing hospital, private duty nursing, nursing home, or another long-term care arrangement.

Who Can Participate in the CDPA Program?

To apply for the Medicaid Consumer Directed Personal Assistance Program, the consumer needs a physician’s order. The medical professional’s CDPA order goes to the local Department of Social Services district, which schedules an assessment. During the application process, the evaluator must find that a consumer is a self-directing person, which means that the client can:

  • participate fully in decisions regarding care
  • handle the hiring, training, and management of the people serving as caregivers
  • make quality alternate arrangements for services on days when the home health aides are not available
  • handle the documentation required by fiscal intermediaries, such as timesheets and payroll records, for the caregivers
  • set up the household in a way that accommodates the personal care
  • understand and manage the responsibility and consequences of hiring home care workers or a family caregiver


If the consumer can’t manage these affairs independently, an alternative is to designate a responsible and competent representative who can make those decisions. In the application, this person is called the designated representative. The assessment also recommends a CDPAP Care Plan, which includes a care schedule, how many visits per week, how many hours per visit, and how many weeks, months, or years of care providers may be needed. The plan also describes the care tasks that the home health aide can do. Because of the program’s self-directed nature, the consumer decides what they are comfortable with the personal assistant doing and what should be left to nursing services and other trained professionals.

Will My Insurance Pay for the CDPA Program?

As part of the New York State health care coverage system, the CDPAP program requires participants to be enrolled in state Medicaid. If you aren’t enrolled but think you may be eligible, Trusted Choice can help you with the enrollment process. With the exception of the New York City area, Trusted Choice Homecare can connect families in all New York State counties with the CDPAS program. We serve some of the largest cities and counties in the state, including Buffalo (Erie County), Rochester (Monroe County), and Onondaga (Syracuse County). In addition to Medicaid, we partner with most Managed Long-Term Care insurance companies throughout New York State.

Contact Us Today!

Trusted Choice Homecare can help home care consumers plan every step as they enroll in the CDPAP for home care services. Since 2016, we have served as a Fiscal Intermediary (FI) for the program, meaning that we contract with and pay the family caregivers and then file with Medicaid for reimbursement for the care services provided. Trusted Choice Homecare has strong relationships with local social services offices due to our experience as a fiscal intermediary with this program. If you are an adult trying to make plans for aging parents in New York, contact us today and speak with one of our representatives to assist you with any questions you may have. You can reach out to our corporate office in Rochester by phone at (716) 431-5550.