Consumer Directed Personal Assistance Program (CDPAP)

What Is It?

  • paragraph iconCreated with Sketch. Medicaid program that provides services to chronically ill or physically disabled individuals who have a medical need for help with activities of daily living or skilled nursing services.
  • paragraph iconCreated with Sketch. The consumer, or the person acting on the consumer's behalf (a "Designated Representative"), assumes full responsibility for hiring, training, supervising, and terminating the employment of persons providing the services ("Consumer Directed Personal Assistant" or "CDPA").


  • paragraph iconCreated with Sketch. Consumers have flexibility and freedom in choosing their caregivers or to delegate a Designated Representative to do so on their behalf. This allows the consumer to:
  • Recruit caregivers to their own criteria
  • Train their caregivers to perform all required tasks
  • Manage their own care, such as the ability to schedule caregiver time to suit their personal situation

CDPAP Services

  • paragraph iconCreated with Sketch. Personal Care
  • Bathing / total bath or assistance w/ bathing
  • Mouth care, skin care, shaving
  • Mobilitiy- Asistance with ambulation
  • Nutrion - Meal preparation/eating
  • Toileting / Elimination
  • Housekeeping
  • paragraph iconCreated with Sketch. Specialized Care
  • Skilled tasks such as wound care, trach care, tube feedings, etc.


  • paragraph iconCreated with Sketch. To enroll in CDPAP, an individual must:
  • Be eligible for Medicaid
  • Expect to need personal assistance for at least 180 days
  • Not be acutely ill
  • Be self-directing or have a Designated Representative

Fiscal Intermediary Services

We provide wage and benefit processing for caregivers employed under New York State CDPAP

Payroll processing

Process the consumer-directed personal assistant's payroll

Record keeping

Maintaining personnel records for each CDPA, including time sheets and documents necessary for wage and benefit processing

Compliance monitoring

Verify working during hours billed, accurate timesheets, etc.