What is CDPAP?

CDPAP is a Medicaid program that provides services to chronically ill or physically disabled individuals who have a medical need for help with daily activities or skilled nursing services.  The program includes services normally provided by:

  • Personal care aides
  • Home health aides
  • Nurses

Recipients have flexibility and freedom in choosing their caregivers. The consumer or 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 following must be completed 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.
  • The Social Services District completes a social and nursing assessment.
  • A nurse assessor determines whether the recipient can appropriately participate in CDPAP.
  • The nurse assessor recommends the amount, frequency, and duration of services.

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.
  • Arranging back-up coverage when necessary.
  • Arranging and coordinating other services.
  • Keeping payroll records.

Hire Your Own Caregiver

Patients can hire a caregiver they know and trust, even a close family relative.

Family Caregivers Get $

Unpaid family caregivers can get paid for their time and services.

No Certification Needed

No certification or training required, so anyone can get started right away.

Greater Control Over Care

Hiring your own caregiver gives you greater control over the quality of care.

More Freedom in Care

Personal assistants are allowed to administer skilled services such as wound care.

Consumer Directed

CDPAP requires minimal interaction with home care agencies.

Download the CDPAP guide
in PDF form