CDPAP Explained

Get Paid to Care for
Your Own Family Member

New York's Consumer Directed Personal Assistance Program (CDPAP) lets Medicaid recipients hire a trusted friend or family member as their paid caregiver. We'll guide you through every step โ€” for free.

๐Ÿ’ก The short version: If you or a loved one qualifies for Medicaid home care in NYC, CDPAP allows you to choose your own caregiver โ€” including a family member โ€” who gets paid directly through Medicaid. You control who provides your care.

What Is CDPAP?

CDPAP stands for Consumer Directed Personal Assistance Program. It is a New York State Medicaid program that gives eligible individuals the power to hire, train, and supervise their own personal care worker โ€” rather than being assigned one by an agency.

Unlike traditional home care where an agency selects and sends a caregiver, CDPAP puts you in charge. You decide who comes into your home, what tasks they perform, and when they work.

Who Is Eligible for CDPAP?

To participate in CDPAP, you must meet all of the following criteria:

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Medicaid Coverage

You must be enrolled in New York State Medicaid. We can help you check eligibility.

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Medical Need

You must have a stable medical condition that requires assistance with daily activities or skilled nursing tasks.

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Self-Direction

You must be able to direct your own care, or have a designated representative (like a family member) who can do so on your behalf.

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Physician's Order

Your doctor must authorize the need for home care services as part of your treatment plan.

Who Can Be Your CDPAP Caregiver?

Almost anyone you trust can become your paid CDPAP caregiver, including:

Your caregiver does not need to be a licensed nurse or certified home health aide. CDPAP is designed for the people who already know and love you. You train them yourself, based on your specific needs.

โš ๏ธ Important: Your caregiver cannot be your legally responsible relative (like a spouse or parent of a minor) in most standard cases. Contact us and we'll clarify what applies to your situation.

What Tasks Can a CDPAP Caregiver Perform?

CDPAP caregivers can assist with a wide range of tasks that would normally require a home health aide โ€” including some skilled nursing tasks with proper instruction:

How to Apply for CDPAP Through Us

1๏ธโƒฃ

Contact Us

Fill out our free matching form. Tell us you're interested in CDPAP โ€” we'll take it from there.

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Eligibility Check

We'll verify your Medicaid status and help gather the physician authorization needed to proceed.

3๏ธโƒฃ

Choose Your Caregiver

You select the person you want โ€” a family member, friend, or trusted helper โ€” and we enroll them as your caregiver.

4๏ธโƒฃ

Care Begins & Pay Flows

Your caregiver starts working. Medicaid pays them directly through a Fiscal Intermediary we connect you with.

Frequently Asked Questions

How much does a CDPAP caregiver get paid?
Pay rates vary by county and are set by Medicaid. In NYC, CDPAP caregivers typically earn between $18โ€“$22 per hour depending on the Fiscal Intermediary and approved hours. We'll give you the most current rates when you contact us.
Does the caregiver need any training or certification?
No formal certification is required. As the consumer, you train your own caregiver on your specific care needs. For certain skilled tasks (like medication management), your home care team will provide guidance.
What is a Fiscal Intermediary (FI)?
A Fiscal Intermediary is an organization that handles the payroll and administrative functions of CDPAP โ€” paying your caregiver, handling taxes, and maintaining compliance. We connect you with a trusted FI in NYC at no extra cost.
How long does it take to start CDPAP?
From initial contact to the first paid shift, most families are set up within 2โ€“4 weeks, depending on Medicaid processing times. We work to expedite this as much as possible for urgent situations.
Can I switch from a traditional home care agency to CDPAP?
Yes. If you're currently receiving Medicaid home care through an agency and want more control over who provides your care, you can transition to CDPAP. We'll guide you through the process.

Ready to Explore CDPAP?

Our care specialists will walk you through eligibility, enrollment, and everything in between โ€” completely free.

Start My Free CDPAP Inquiry โ†’ Medicaid Guide