The Ultimate Guide to the Consumer Directed Personal Assistance Program (CPDAP)

CDPAP is a fantastic program that allows home care consumers to hire the caregiver of their choice, including most family members and friends. If you’re looking into CDPAP for the first time, you probably have a lot of questions. We at Edison Home Health Care have developed this guide to help you understand how the program works, answer your questions, and give you the tools you’ll need to enroll in CDPAP.

Want to start your CDPAP enrollment straight away?

Call us at 718-831-2900 and a CDPAP specialist will guide you through the entire enrollment process.


mother-and-daughter-668167_1280 (1)Introduction to CDPAP

Consider the following scenario:

Sally Bronson was a dedicated mother who had worked hard her whole life to provide for her family. Now in her late-70s, she suffered from a number of health complications that caused her to require help with activities of daily living. She also required daily insulin shots for her diabetes. Her daughter, Michelle, was there as often as possible, but she herself had to work to support her own family.

Michelle wanted to get her mother a home attendant, but she knew that her mother would be reluctant to let a stranger into her home. Additionally, even if she could get her mother to accept a home attendant, the home attendant would not be allowed to administer the daily insulin shots that her mother required. Then Michelle discovered the Consumer Directed Personal Assistance Program (CDPAP).

Under the Consumer Directed Personal Assistance Program, Michelle was able to get paid to take care of her mother. Since personal assistants are allowed to administer skilled services, Michelle was able to give her mother the daily insulin shots. This allowed Michelle to give her mother the kind of care that only a daughter can provide, without compromising on her responsibilities to her own family.

What is CDPAP?

CDPAP is a New York State Medicaid program that allows consumers to recruit, hire, and direct their own home care workers. One of the highlights of the program is that it allows consumers to hire family members and friends.

CDPAP Eligibility

Am I eligible for CDPAP?

There are three important criteria that must be met to be eligible for CDPAP:

1.      You must have Medicaid.

2.      You must require home care.

3.      You must be self-directing, or you must have a representative that can direct your care.

There are other factors that can potentially affect your CDPAP eligibility, but if you meet the above criteria, we recommend you give us a call to see if you can enroll.

Do I need to be in a Medicaid Managed Care plan to enroll in CDPAP?

Most consumers must be enrolled in some form of Medicaid Managed Care to enroll in CDPAP. The good news is, you may have a choice as to what type of plan you enroll in. If you will be enrolling in Managed Long-Term Care (MLTC), as many CDPAP consumers must, there are a few different types of MLTC plans to choose from, each offering the consumer their own unique set of benefits. To learn more about the different types of plans, see Managed Long-Term Care (MLTC) Plans.

CDPAP Application

Where can I get a CDPAP Application?

There are often several steps involved in the CDPAP Application process, and it is not just a matter of filling out a single application form (although, yes, there is a form titled CDPAP Application). We break down the process into three components:

1.      Assessment(s) – Most CDPAP applicants must be assessed by a nurse (sometimes more than once) before enrolling in CDPAP.

2.      Patient Forms – Certain forms are required for the CDPAP Patient. See CDPAP Forms for more.

3.      Personal Assistant Forms – Certain Forms are required for the Personal Assistant. See CDPAP Forms for more.

Concerned about all the details? The good news is, we’re here to help you every step of the way. So don’t break a sweat trying to decipher all the different parts of the enrollment process. Give us a call and let one of our CDPAP specialists explain the entire application process and guide you through your enrollment.

CDPAP Program Enrollment

Ready to enroll in CDPAP?

What are you waiting for! Call us now at 718-831-2900. A CDPAP specialist will guide you through the entire enrollment process.


What forms do I need to apply for CDPAP?

It really depends on your situation. However, you will certainly need something. We recommend you give us a call so we can give you a clear picture of what you will need. We will even help you with gathering the necessary forms from your doctor and other providers. For a complete list of the forms, see our dedicated CDPAP Forms page.


How many hours of home care will I get?

Not all CDPAP consumers receive the same number of hours. In fact, there are often vast differences between consumers in the number of hours for which they are approved. Usually, your Medicaid Managed Care plan will make the final determination on how many hours you will receive.

CDPAP Pay Rate and Salary

What is the hourly pay rate that you compensate CDPAP workers?

Your hourly pay rate and salary may depend on a number of factors. If you would like to find how much you may get paid, please give us a call.

Allowed Caregivers

Who Can Provide Care Under CDPAP?

CDPAP consumers can hire almost anyone that is legally allowed to work to be their caregiver, including most family members and friends. However, there are some exceptions. The following are answers to some commonly asked about family members:

Can children provide care for their parents?


Can spouses provide care for each other?


Can parents provide care for their children?

It depends. The parent of an adult child age 21 or older can be that child’s caregiver. A parent of a child younger than 21 cannot be that child’s caregiver.

Can a CDPAP caregiver live at the same address as the consumer?

Great question. The short answer is, it depends. The government’s policy states as follows: “a consumer directed personal assistant may include any other adult relative of the consumer who does not reside with the consumer or any other adult relative who resides with the consumer because the amount of care the consumer requires makes such relative’s presence necessary”.

Certification and Training (Hint: No license or certification is required!)

Are CDPAP caregivers required to have any license or certification?

Okay, we gave it away. CDPAP caregivers are not required to have any license or certification.

Who trains the CDPAP Personal Assistant?

The CDPAP consumer or their representative trains their own caregiver.

Home Care Services Allowed

What types of home care services can CDPAP Personal Assistants provide?

Unlike home health aides (HHAs) and personal care aides (PCAs) that are only allowed to provide custodial care such as dressing, bathing, and meal preparation, CDPAP Personal Assistants are also allowed to provide skilled care such as wound care, giving insulin shots, and suctioning tracheostomies.

Applying for Medicaid (if you do not yet have Medicaid)

What if I don’t have Medicaid?

CDPAP is a Medicaid based program, and you must have Medicaid to enroll. However, if you don’t have Medicaid, don’t be discouraged. We have Medicaid specialists that can guide you through the process of applying for Medicaid.

Advantages of CDPAP Home Care VS Traditional Home Care

Are there any advantages that CDPAP home care has as opposed to traditional home care?

The following are some advantages of CDPAP home care VS traditional home care:

  1. Close relatives such as children can get paid to provide care.
  2. Personal assistants are not required to have special certification or licensing.
  3. Personal assistants can administer skilled services such as wound care, giving insulin shots, and suctioning tracheostomies.

CDPAP Agency of Choice

Edison Home Health Care

Okay, fine, we gave ourselves the title. But really, it’s true!

Edison Home Health Care distinguishes itself as one of the premier CDPAP agencies in New York City (NYC) and in all of New York (NY) State. When you work with Edison, you will have dedicated staff helping you with your CDPAP enrollment, as well as gathering the necessary paperwork for both you and your Personal Assistant. Once enrolled, you will have a dedicated CDPAP Coordinator at our agency that will help ensure that everything goes smoothly.

We have convenient locations in Brooklyn, The Bronx, Queens, and Lancaster (Buffalo). But wherever you are in New York (NY) State, we can usually come to you to help complete the necessary paperwork. We work with CDPAP consumers in Rochester, Albany, Syracuse, and throughout NY.