Consumer-Directed Personal Assistant Program (CDPAP)



In New York State individuals who qualify for Medicaid Long Term Care and need home care, personal care or skilled nursing services have the option to choose who will help them with their daily needs. Through New York State’s Consumer-Directed Personal Assistance Program (CDPAP) elderly and disabled people are afforded the opportunity to manage their own home care, which means they can choose, hire, monitor and terminate their own home care provider or personal assistant (PA). For many individuals the option to have a family member or a loyal friend help with their home care needs is more appealing than having services provided by a home care agency.

The PA’s wages including health care and paid time off are paid by the New York State. PAs must be 18 years of age, are not required to have special certification or licensing, and can administer skilled services such as wound care, giving insulin shots, and suctioning tracheostomies.

The purpose of this program is to care for people in their homes and ultimately limit hospital admittances. The findings are that for many CDPAP participants: clinical outlook is better, communication improves, medical complications are caught earlier, and health tragedies avoided.

To see if you are eligible contact your NY county department of health or department of social services and human services (DSS) office, and complete the application process.