New York’s Consumer-Directed Personal Assistance Program (CDPAP) is an increasingly popular program which empowers elderly and disabled people that qualify for home care and are eligible for Medicaid to choose their caregiver, have complete control over hiring and firing, and even sign their family member up as their personal caregiver.
If these services appeal to you and you qualify, then you will surely want to submit an application and demonstrate your suitability for this program.
The application process can be long and difficult, but is worth it if you need personalized, daily care from someone that you trust. In going through the application process, there a few key steps to ensure you are well-prepared and qualify.
Namely, you must qualify for Medicaid, require consistent care and help with your daily life, and ensure that your choice for personal caregiver is qualified for the Program.
What follows, then, is a brief overview of the process and the key steps involved in signing up for the CDPAP.
First, if you don’t already qualify for Medicaid, it is imperative that this is where you begin.
Medicaid qualification is based on your financial information and your ability to fund your medical care otherwise.
Typically, the application will be found through your local health or social services office; once the application has been submitted, state employees will analyze your income, financial history, and assets to determine your eligibility for Medicaid.
If you do not qualify, likely due to excessive assets or income, then there are still options through financial planning or the hiring of an attorney that can help sway the decision in your favor.
If you have qualified for Medicaid, you are officially eligible for CDPAP, assuming you can demonstrate a need for the level of care implied by this program.
Your CDPAP application, which is filed through the Medicaid Managed Long Term Care (MLTC) Program, will be evaluated based on your needs, ability to meet your own care requirements otherwise, and the ability of the selected caretaker to meet these needs.
This is not a simple black-and-white matter of needing care, not being able to afford care, or having a suitable caretaker in mind, however; each of these factors plays a role in your eligibility and, ultimately, an inconsistency in one of these can have a significant impact on your chances of success.
Assuming you can demonstrate that you meet these eligibility requirements, genuinely need the daily care entailed, and have an eligible caretaker in mind, your application is certainly likely to succeed, however.
There are three components involved in the CDPAP application process
- Assessments – First, the majority of prospective patients are required to be assessed by a trained and qualified nurse at least once before enrolling. This is designed to ensure that those who are applying are simultaneously eligible and directed either by themselves or with the help of a representative.
- Patient forms – Following the assessment and confirmation of a patient’s eligibility, there are certain forms to be filled out by the patient and personal assistant as a part of the application process. A ‘No Conflict Attestation’ must be completed first and foremost; this verifies that the patient has authorized the person in question to serve as their personal assistant.
- Personal assistance forms – The consumer must have his/her doctor complete a PCP Transfer Form to authorize the switching of plans as well as a DOH Form, which is a mandatory physician’s order that confirms that the patient is, according to their doctor, authorized to receive these services.The Personal Assistant has far more forms to fill out, as one might expect. Specifically, there is a CDPAP Employment Application, Work Availability form, W-4 Form, I-9 Form, Wage Letter Pay Rate Form, as well as a Habituation Statement and Pre-Employment Physical.
Each of these ensures that the selected personal assistant is eligible, able, and available to perform the necessary care duties.
Qualifying for CDPAP
Ultimately, the priority in all of this is to ensure the patient receives the best care they can from the caregiver of their choice.
The application process can seem daunting, but it is worth it if the CDPAP appeals to you and how you would like your care to be executed.
The first step is to do some research and familiarize yourself with the process ahead, as well as the unique aspects that make CDPAP the renowned program that it is.
It is cost-effective, works within your existing Medicaid plan, and puts the control over your care back in your hands. Whether it is a family member, friend, or the professional caregiver of your choice, CDPAP allows your care to be personal and wholly in your control without any disruptions otherwise.
Make sure you and your preferred personal assistant both qualify for the Consumer-Directed Personal Assistance Program and are able to demonstrate as such in the forms mentioned above.
The success of your application ultimately hinges on the determination of your eligibility and the ability of each of the relevant actors to fulfill their necessary duties under the program.
Given the significance of this decision and of the application process, there are many resources available online (this website being one of them) that can help elucidate the eligibility requirements, rules, and regulations relevant to your CDPAP application.