What Is CDPAP in New York?
The Consumer Directed Personal Assistance Program (CDPAP) is a New York State Medicaid program that lets eligible individuals choose their own home care caregiver, including a family member or friend, and have Medicaid pay for that care. This guide explains how CDPAP works, who qualifies, and what changed with the 2025 PPL transition.
Talk to AllProHow CDPAP works in New York.
CDPAP is a New York State Medicaid program that puts the person receiving care in control of their own home care. Under traditional home care through a Licensed Home Care Services Agency, the agency assigns a caregiver. Under CDPAP, the consumer recruits, hires, trains, schedules, and supervises their own Personal Assistant (PA). The PA can be a friend or family member, as long as they are not the consumer’s spouse, their designated representative, or the parent of a consumer under age 21.
CDPAP covers the same range of services as traditional home care, including personal care, bathing, dressing, and activities of daily living. Importantly, because the consumer is directing the care themselves, a CDPAP PA can also provide certain skilled nursing services that a standard home health aide is not permitted to perform, such as wound care, insulin injections, and catheter management.
Consumer Directs Their Own Care
The consumer or their designated representative recruits, hires, trains, and supervises their Personal Assistant. The agency does not assign the caregiver.
Family Members Can Be Paid
Adult children, siblings, grandchildren, and other family members can serve as paid PAs under CDPAP. Spouses and designated representatives cannot also be the paid caregiver.
Medicaid Pays the Caregiver
The Statewide Fiscal Intermediary PPL handles payroll, tax withholding, benefits, and direct deposit for all CDPAP Personal Assistants across New York State.
Skilled Services Are Included
Unlike standard home health aide services, CDPAP PAs can provide skilled nursing services including wound care, injections, and catheter management when directed by the consumer.
How much does CDPAP pay caregivers in New York?
CDPAP caregiver pay rates vary by county and reflect New York’s home care minimum wage requirements. As of January 2026, all CDPAP Personal Assistants received a $0.55 per hour wage increase. Current 2026 rates are:
New York City, Long Island, and Westchester
Per hour for CDPAP Personal Assistants working in the five boroughs, Nassau and Suffolk counties, and Westchester County as of 2026.
Rest of New York State
Per hour for CDPAP Personal Assistants working in upstate New York and other regions outside of NYC, Long Island, and Westchester.
Overtime rules apply. PAs who work more than 40 hours per week receive overtime at 1.5 times their regular rate. PPL also offers paid time off (1 hour per 30 hours worked, up to 56 hours per year), holiday pay, and a health benefits plan for full-time workers. PAs must complete required training through the Nevvon portal within 90 days of their start date.
What New Yorkers ask about CDPAP.
What is CDPAP in New York?
CDPAP stands for Consumer Directed Personal Assistance Program. It is a New York State Medicaid program that allows eligible individuals to choose and hire their own home care caregiver, including a family member or friend, and have Medicaid fund that care through the Statewide Fiscal Intermediary PPL.
Can a family member get paid to care for someone under CDPAP in New York?
Yes. Adult children, siblings, grandchildren, cousins, and other relatives can serve as paid CDPAP Personal Assistants in New York. The consumer’s spouse and their designated representative cannot also be the paid PA. The parent of a CDPAP consumer under age 21 is also excluded.
What did the PPL transition change for CDPAP consumers in New York?
As of September 2025, PPL became the sole Statewide Fiscal Intermediary for all New York CDPAP services. Consumers’ eligibility and services were not changed by the transition. Consumers and PAs were required to register with PPL to ensure uninterrupted payroll. Consumers can contact PPL at 1-833-247-5346 for registration assistance.
Does CDPAP cover skilled nursing services?
Yes. Because the consumer is directing their own care, CDPAP PAs can provide skilled nursing services that standard home health aides are not permitted to perform, including wound care, insulin injections, catheter management, and other medically necessary tasks ordered by a physician.
How many hours of care can a CDPAP consumer receive in New York?
There is no fixed maximum hour limit for CDPAP in New York. The number of approved hours is set by the consumer’s health assessment through NYIAP. Most consumers receive between 5 and 12 hours per day. Consumers with high medical needs can be approved for 24-hour or live-in care if the assessment supports it. Hours are renewed annually through reassessment.
More from AllPro on CDPAP in New York.
Questions about CDPAP or home care in New York?
AllPro’s nurse-led team can help families understand their home care options in New York. Contact us with any questions.
Contact Us