Frequently Asked Questions

Some common question answer
Consumer Directed Personal Assistance Program is known as CDPAP. Using this Medicaid program, older persons or people with disabilities can get home care services once more.

The consumer or their chosen representative may choose, employ, and manage their own personal assistants under the CDPAP program. These assistants may be family members, friends, or strangers. This gives patients more control over their treatment by allowing them to select caregivers they know and trust to take care of their unique requirements.

Several US states offer CDPAP, and each state may have different eligibility conditions. A person must typically be Medicaid-eligible and in need of assistance with daily tasks like showering, dressing, or preparing meals in order to be eligible for CDPAP.
You may be eligible for CDPAP if you:
  • Live in New York
  • Has Medicaid, or eligible for Medicaid
  • Senior or disable people who needs help of daily living activities such as walking, cleaning, bathing, preparing food, taking outside, visiting doctors, buying groceries, medication, and other daily activities.
The CDPAP caregivers are a group of personal assistants that Medicaid-eligible people can choose from when it comes to their personal care because they are employed and managed by Medicaid beneficiaries themselves. The CDPAP program enables Medicaid clients to select a caregiver who best suits their requirements, whether it be a family member, friend, or professional. Assisting with daily living activities including bathing, clothing, grooming, providing medication, preparing meals, cleaning, transportation, and more are among the many services that CDPAP caregivers are expected to provide. The CDPAP caregiver’s services are determined by the unique requirements of the Medicaid user and their care plan. The caregiver in the CDPAP program is not connected to an agency, which is what makes it unique.Instead, they are regarded as the Medicaid recipient’s employees, and as such, are accountable for paying payroll taxes and insurance. The Medicaid recipient is in charge of scheduling the caregiver and dealing with any other difficulties pertaining to work.
The pay rate for CDPAP personal assistants in New York can change depending on a variety of variables, including the location of the Medicaid recipient, the personal assistant’s level of training and experience, and the quantity of hours worked.

Depending on the region and insurance of the Medicaid beneficiary, our pay rates range from $18 to $22 per hour.
A CDPAP beneficiary’s specific needs and the level of care permitted by their Medicaid plan determine how many home care hours they can receive.
Since it refers to those who have applied for Medicaid to pay for their homecare benefits but are still waiting for approval, the term “pending Medicaid homecare” is unclear. These people might pay for home care services themselves or with money from other sources during this uncertain time.

Once your Medicaid application is accepted, you may feel a lot better knowing that your home care expenses will be paid for backwards from the application date. The fact that Medicaid will pay back any money incurred during the limbo period may cause the person to experience an outburst of happiness.

It is crucial to remember that not all states have excellent Medicaid programs, and that state-by-state variations in eligibility rules can make things difficult.You are strongly advised to contact your state’s Medicaid program in order to fully comprehend the complex Medicaid policies and regulations for impending Medicaid home health care.
Depending on your existing Medicaid status, it takes 4 to 6 weeks.
Medicare is insufficient; you also need Medicaid.
Organizations known as Fiscal Intermediaries (FIs) offer administrative assistance to healthcare providers who take part in public health programs like Medicaid. These businesses support healthcare workers in managing their funds and ensuring they adhere to program guidelines. The usual responsibilities of tax intermediates include processing payments, processing invoices, and maintaining records. Tax intermediates are particularly crucial in Medicaid managed care systems. These programs are created to offer Medicaid-eligible individuals comprehensive health care services.Caregivers must enter into a contract with a managed care organization (MCO), which is in charge of coordinating care and controlling expenses, in order to take part in these programs. Tax intermediaries communicate with MCOs and medical personnel.
They make sure suppliers are paid promptly and accurately and assist them in navigating the convoluted administrative requirements of MCOs. Tax intermediates can also provide suppliers with instruction and support on subjects like compliance and invoicing. Let’s now examine the relationship between tax intermediaries and the Consumer Directed Personal Assistance Program (CDPAP) in New York.With the help of this initiative, Medicaid clients will be able to choose their personal assistants and the services they need in order to manage their own care. The program gives you more flexibility in terms of the services that can be rendered and permits you to hire friends and family as personal assistants. Since they are in charge of overseeing the program’s financial operations, tax intermediaries play a crucial part in the CDPAP program.
They manage duties such processing payroll, withholding, and benefit administration. Tax intermediates can also aid personal assistants and guide them through the program’s administrative procedures. Finally, financial intermediaries play a crucial role in the health ecosystem by offering administrative assistance to medical practitioners taking part in public health initiatives. Tax intermediates assist providers in managing the administrative demands of MCOs under Medicaid managed care plans. Tax intermediaries oversee the program’s finances and help personal assistants in the New York CDPAP program. Tax intermediaries will continue to play a significant role in ensuring that patients receive the care they require as healthcare reforms move forward.
It is possible for people whose resources or income are in excess of the Medicaid eligibility requirements to still be eligible for Medicaid insurance through a process called Medicaid Spend Down. Through the spend-down procedure, patients can “spend” their extra money or resources on medical bills before Medicaid starts paying for their medical bills.
Income: Your income must be at or below the Medicaid income threshold for your household size. The maximum income varies depending on the size of your family and the Medicaid program you are enrolling for. On the New York State Department of Health website, you can find the income threshold that applies to your case.

Net Worth: Your net worth must be less than or equal to the Medicaid net worth for the size of your household.Cash, bank accounts, stocks, bonds, and other investments are all included in the wealth limit. It excludes certain other assets and your primary dwelling. Once more, the wealth threshold changes according to your family size and the Medicaid program you’re applying for.

Eligibility Category: You must fall under an eligible group without a deductible. Pregnant women, kids, and those who are blind or disabled are a few examples of groups who do not need to pay a deductible.

If you are eligible for Medicaid and satisfy the conditions, you can apply through the New York State Health Marketplace or by getting in touch with your neighborhood Department of Human Services. The complexity of Medicaid eligibility and the possibility of additional factors influencing your eligibility should be noted. A qualified professional should always be consulted while applying for Medicaid.
Yes, you can hire your family member such as son, daughter, or relative, neighbor or friend as your caregiver.
  • Your spouse,
  • Your authorized representative
  • Someone is under 18 years of old. 
Caregiver pay rate depends on your location and the insurance plan. To know the best rate, please contact us.
  1. After receiving your general information, we will start your CDPAP enrollment process.
  2. A Medicaid nurse will visit you and determine your eligibility and the weekly hours you need.
  3. You can choose your caregiver from your family member: your daughter, son, or relative, neighbor or friend.
  4. After completing the above steps, your CDPAP home care will start. You get the care, and your caregiver gets paid.
Since it refers to those who have applied for Medicaid to pay for their homecare benefits but are still waiting for approval, the term “pending Medicaid homecare” is unclear. These people might pay for home care services themselves or with money from other sources during this uncertain time.

Once your Medicaid application is accepted, you may feel a lot better knowing that your home care expenses will be paid for backwards from the application date. The fact that Medicaid will pay back any money incurred during the limbo period may cause the person to experience an outburst of happiness.

It is crucial to remember that not all states have excellent Medicaid programs, and that state-by-state variations in eligibility rules can make things difficult.You are strongly advised to contact your state’s Medicaid program in order to fully comprehend the complex Medicaid policies and regulations for impending Medicaid home health care.
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