First Care of New York is a NY Licensed Home Care Service Agency approved to provide CDPAP (Consumer Directed Personal Assistance Program) services in the Bronx, Brooklyn, Manhattan and Queens.
Consumer Directed Personal Assistance Program (CDPAP)
CDPAP is a statewide Medicaid program that provides an alternative way of receiving home care services, where the consumer has more control over who provides their care and how it is provided. Rather than assigning a home care vendor or agency that controls selection, training, and scheduling of aides, the "consumer" or the family member, friend or guardian directing his/her care performs all these functions usually done by a vendor. All counties - and now all mainstream Managed Care and Managed Long Term Care plans - are required to have a CDPAP program and notify “eligible individuals” of the option to join. Eligible individuals include those eligible for services provided by a certified home health agency, a long term home health care (waiver) program, AIDS home care program, or personal care (home attendant).
This Medicaid program provides services to chronically ill or physically disabled individuals who have a medical need for help with activities of daily living (ADLs) or skilled nursing services.
Services can include any of the services provided by a personal care aide (home attendant), home health aide, or nurse.
Recipients have flexibility and freedom in choosing their caregivers.
The consumer or the person acting on the consumer's behalf (such as the parent of a disabled or chronically ill child) assumes full responsibility for hiring, training, supervising, and – if need be – terminating the employment of persons providing the services.
The consumer can hire almost anyone, including any family members except his or her spouse. Starting April 2016, parents of disabled adult children will be able to serve as a CDPAP aide, if they are not also the recipient's designated representative.
State regulations prohibits the spouse or parent from being hired as the CDPAP aide, but allow a son or daughter or any other family member, provided the family member does "...not reside with the consumer or ... who resides with the consumer because the amount of care the consumer requires makes such relative's presence necessary...."
Immigrants must have a valid work authorization. The aide need not be "certified" - training is done by the consumer and family.
The Consumer/Surrogate manages the plan of care including, recruiting and hiring a sufficient number of individuals to provide authorized services that are included on the consumer's plan of care; training, supervising and scheduling each personal assistant; and assuring that each consumer directed personal assistant competently and safely performs the personal care tasks, terminating the personal assistant's employment.
A Consumer that is participating in CDPAP may receive Meals on Wheels and/or PERS if consumer meets eligibility criteria.
Only medically necessary services delivered to a consumer and are specified on a plan of care are covered.
The Consumer Directed Personal Assistance program provides many benefits, such as:
Enables self-directing individuals, who are receiving home care services under the Medical Assistance Program, greater flexibility and freedom of choice over their services.
Allows individuals to become active participants in the development of their own plan of care.
Gives individuals the responsibility for coordination and management of their own services by allowing them to interview, hire, train, supervise and schedule their own employees.
Gives individuals responsibility for coordinating any other service that they may need.
To be eligible for the Consumer Directed Personal Assistance program, the following criteria must be met:
Must be eligible for or receiving home care services or be participating in a long term health care program.
Must have both Medicaid & Medicare.
Must be able and willing to participate in the selection, supervision, evaluation, and termination of qualified service providers.
Must be able and willing to direct service providers in required work tasks or have a legal guardian willing to do so on behalf of the individual.
How does a patient find the Consumer Directed Personal Assistance Program?
Before a person can receive services, his or her doctor must send a completed Physician's Order for Services to the local social services district, which then completes a social and nursing assessment. A nurse assessor then determines whether the recipient can appropriately participate in CDPAP, and recommends the amount, frequency and duration of services.
What are the requirements of CDPAP?
Recipients must be able and willing to make informed choices regarding the management of the services they receive, or have a legal guardian or designated relative or other adult able and willing to help make informed choices.
The consumer or designee must also be responsible for recruiting, hiring, training, supervising and terminating caregivers, and must arrange for back-up coverage when necessary, arrange and coordinate other services; and keep payroll records.
It is the goal of Consumer Directed Personal Assistance Program (CDPAP) to allow individuals with disabilities and other medical conditions more control over their personal assistance services. This allows an individual the ability to manage his or her care and make decisions based upon his or her own individualized needs.
What is the differences between CDPAP and managed care patients?
who selects the PA;
who trains the PA and how the PA is trained;
who supervises the PA;
who schedules the PA;
how the tasks are done;
who terminates the PA (if the employment relationship isn’t working.)
What are the Advantages for the Consumer?
Employ as many personal assistants as you need to satisfy your lifestyle choice, keeping within the amount of hours you've been authorized by Medicaid.
Consumers can direct and supervise their personal assistants to enable them to live independent lives.
Consumers receive care that otherwise would be required to be completed by a registered nurse.
All family members are eligible to provide these services except a spouse or parent.
CDPAP aides can perform additional services not rendered by an HHA or PCA such as suctioning tracheostomies, insulin injections, and administration of oxygen or medications where the consumer cannot self-administer.
There is no formal training required to be eligible to be a PA (no hha or pca certificate required).
There is no in-service ongoing education required to continue as a PA.
We also do not have an obligation to finger print the CDPAPA care giver (we should suggest that the family do a background check).
PCA services includes some or total assistance with:
Level I functions as follows:
Making and changing beds ;
Dusting and vacuuming the rooms which the member uses;
Light cleaning of the kitchen, bedroom and bathroom;
Listing needed supplies;
Shopping for the member if no other arrangements are possible;
Member’s laundering, including necessary ironing and mending;
Payment of bills and other essential errands; and
Preparing meals, including simple modified diets.
Level II personal care services include Level I functions listed above and the following personal care functions:
Bathing of the member in the bed, the tub or the shower;
Grooming, including care of hair, shaving and ordinary care of nails, teeth and mouth;
Toileting, this may include assisting the patient on and off the bedpan, commode or toilet;
Walking, beyond that provided by durable medical equipment, within the home and outside the home;
Transferring from bed to chair or wheelchair;
Preparing of meals in accordance with modified diets, including low sugar, low fat, and low residue diets;
Administration of medication by the member, including prompting the member as to time, identifying the medication for the member, bringing the medication and any necessary supplies or equipment to the member, opening the container for the member, positioning the member for medication administration, disposing of used equipment, supplies and materials and correct storage of medication;Providing routine skin care;
Using medical supplies and equipment such as walkers and wheelchairs; and
Changing of simple dressings.
For more information or to apply for the Consumer Directed Personal Assistance program, contact: