What You Need To Know About CDPAP

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What is CDPAP?

CDPAP is a New York Medicaid program that provides an alternative way of receiving home care services. The goal of this program is to provide consumers who require home care with more control over who provides their care and how it is provided.

This program, in practice, allows consumers of CDPAP to hire loved ones to provide necessary care giving services, and pay those loved ones for the care they provide. In this instance, both the patient and caregiver benefit from this arrangement—the patient is cared for by a loved one who they trust while the caregiver is fairly compensated for their services.

Getting Started with CDPAP

To participate in CDPAP, a doctor must send a completed Physician’s Order for Services to the local social services district, which then conducts a social and nursing assessment.

The assessor will then decide if the individual can participate in CDPAP and recommends the amount, frequency, and duration of services.

Do I Need To Be On Medicaid To Participate in CDPAP?

Recipients must be eligible for New York State Medicaid to participate in CDPAP.

Other Requirements Needed To Participate in CDPAP

Additionally, to participate in CDPAP, consumers must be currently receiving or approved to receive personal care service by the Department of Social Services. The individual must also:

  • Be medically stable and self-directing
  • Be willing and able to make management choices about their care, or have a legal guardian or designated adult willing to make health choices

Can I Participate In CDPAP If I’m On Medicare?

CDPAP is not covered by Medicare. It is possible, however, for recipients of CDPAP to be enrolled in Medicaid and Medicare. These dual-eligible consumers are required to enroll in a Managed Long-Term Care Plan.

Medicaid In NY vs. Medicare in NY:  What’s The Difference?

Medicaid is a state-sponsored healthcare option that covers the medical expenses of low-income patients who would otherwise be unable to afford them. To qualify for Medicaid in New York, individuals must be:

  • A US citizen
  • A resident of New York
  • In need of healthcare insurance/assistance
  • In a financial situation that is characterized as low income or very low income

Medicare is a federal program that is available to all U.S. citizens 65 years or older. It also covers people with certain disabilities. Available to individuals regardless of their income, this four-part program consists of:

  • Part A: Hospitalization Coverage
  • Part B: Medical Insurance
  • Part C: Privately purchased supplemental insurance that provides additional services and through which all Medicare services offered by Part A and Part B can be accessed
  • Part D: Prescription Drug Coverage

Renaissance Home Health Care Can Help With You Navigate CDPAP

Navigating  CDPAP can be overwhelming, which is why the team at Renaissance Home Health Care is here to help. Consumers and their caregivers often have questions about various components of  the program, and our dedicated team is available to consult on:

  • Completing and processing necessary paperwork for enrollment
  • Ensuring that caregivers are paid promptly and consistently
  • Field questions about finding replacement caregivers if the need arises

Programs like CDPAP are constantly in flux, and we take it upon ourselves to stay updated with the regulations and rule changes that impact you and your loved ones. Additionally, we understand the importance of communicating these changes to you or your loved ones so that the proper care is provided. We emphasize attention to detail, and that is reflected in the service we provide.

Contact us today to learn more about CDPAP. We’ll walk you through how it relates to Medicaid and Medicare in NY and answer any further questions. We look forward to assisting you!