Areas of Specialty

If you’re longing for a home health caregiver familiar to you, understands your personality, and is a comfortable presence in your home, New York Medicaid’s Consumer Directed Personal Assistant Program (CDPAP) through 1st Home Care Of NY is meant to be for you.    

Consumer Directed Personal Assistance Program (CDPAP) This Medicaid program provides services to chronically ill or physically disabled individuals who have a medical need for help with activities of daily living (ADLs) or skilled nursing services. Services can include any of the services provided by a personal care aide (home attendant), home health aide, or nurse. Recipients have flexibility and freedom in choosing their caregivers. The consumer or the 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 terminating the employment of persons providing the services. How do I find the Consumer Directed Personal Assistance Program? 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, which then completes a social and nursing assessment. A nurse assessor then determines whether the recipient can appropriately participate in CDPAP and recommends services' amount, frequency, and duration.  Requirements of CDPAP 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 adults 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 for backup coverage when necessary, arranging and coordinating other services; and keeping payroll records.