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Medicaid CDPAP: What You Need to Know

Medicaid CDPAP: What You Need to Know

The need for personalized home care services arises for various reasons. For example, age-related challenges, disabilities, or medical conditions that require daily assistance. Medicaid Consumer Directed Personal Assistance Program (CDPAP) offers an excellent solution by allowing eligible individuals to hire and manage their home health aides.

The cost of home care services is a significant concern for many families, making Medicaid's financial aid invaluable. Here's all you need to know about Medicaid CDPAP if you or your loved ones are seeking financial assistance to access it:

Medicaid Coverage for CDPAP Services

Medicaid is a jointly funded program by the federal and state governments to provide medical coverage to low-income individuals. So under this program, the CDPAP initiative empowers consumers with greater control over their home-based care.

The NY CDPAP program allows eligible participants to select, hire, and direct their home health aides. This level of control fosters a more trusting and supportive relationship between the care recipient and the caregiver. CDPAP benefits the consumer's overall well-being and quality of life.

Medicaid and CDPAP: Eligibility and Coverage

You must meet certain CDPAP eligibility requirements to qualify. They include:

  • Must be 18 or older
  • Reside in any of the 62 counties of NY
  • Enroll in the New York State Medicaid program
  • Demonstrate a need for long-term assistance with activities of daily living (ADLs), usually through a community health assessment completed by a New York Independent Assessor (NYIA)
  • Be self-directing or have a representative that can direct your care. 

Exploring Additional Financial Resources

While Medicaid is a significant source of financial assistance for CDPAP services, other resources may be available to support home care needs further. 

Navigating the Application Process

Here's a guide to help your CDPAP application process:

  1. Gather required documents: Identification, proof of income, residency, and medical records.
  2. Check eligibility: Review Medicaid's eligibility criteria for NY and ensure you meet the requirements for CDPAP coverage. If you do not have medicaid, Elite Choice can help you with applying for Medicaid.
  3. Seek professional guidance: Consult a qualified agency like Elite Choice to help in the CDPAP enrollment process.
  4. Complete forms: Fill out the Medicaid application accurately
  5. Turn in the application: Submit the completed application to the appropriate Medicaid office or online portal.
  6. Follow up: Keep track of your application's progress and respond promptly to any requests for additional information.
  7. Receive financial assistance: Once approved, Medicaid will provide financial aid for your CDPAP services through an agency or fiscal Intermediary (FI) firm.
At Elite Choice, we believe that everyone should have the opportunity to receive quality home care. Our experienced team has the expertise to help you navigate the complexities of Medicaid and CDPAP. Contact us today, and let us be your Elite choice in achieving the best possible home care for you or your loved one.

Written by: Leah Ganz
Director of Patient Services

Leah Ganz, RN, BSN is the Director of Patient Services at Elite Home Health Care. She has an extensive background in homecare and previously worked in various specialties including pediatrics, pain management and internal medicine. She oversees all patient services across Elite's departments.