20+ years of experience empowering consumers to live independently

NYS CDPA leader in expertise,
efficiency, and innovation

Superior customer service from trustworthy, knowledgeable,
and responsive staff

“I couldn’t bear to send her to a nursing home where she’d have to wait for several hours to get dressed, couldn’t do what she loves. We’ve had experience with agencies that send you their aides rather than you choose. The bottom line is we want to be happy in our house, and if you’re in a nursing home, you’re not in our house, and if you have an agency person who was sent to you who is not nice to you, then we’re not really happy in our house.”

“I have been with the program for over 20 years. You are allowed to choose who comes into your home to take care of you. No more having random people sent to me.”

“If I didn’t have PA, I could be put in a nursing home. I’m just 25 years old. I have so much to live for. I don’t want to just lay in bed in a nursing home.”

Take control of your care.
Switch to the best-in-class service now:

  • Designated Service Coordinator
  • Serving all of NYS with offices local to you
  • Higher wages and overtime pay
  • Weekly paychecks
  • Holiday pay
  • Retirement plan
  • Paid time off
  • Health and dental insurance

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Steps for Switching Fiscal Intermediary (FI)

Notify your Medicaid Managed Care Organization


Inform your current Medicaid Managed Care Organization that you wish to switch your fiscal intermediary (FI). They will send your referral to CDChoices.

We will contact you


CDChoices will contact you within 24 hours, once your referral has been received.



CDChoices will provide you with the initial consumer agreements and documentation to onboard your personal assistant(s) through CDChoices.

Provide medical records


Your personal assistant(s) will need to obtain copies of the necessary medical records via their current FI. If their current FI cannot provide these records, CDChoices will cover the cost for new tests to be done.

We request authorization


CDChoices will request authorization from the consumer's Medicaid Managed Care Organization upon completion of the above.

We are a premier fiscal intermediary provider of Consumer Directed
Personal Assistance (CDPA) throughout the state of New York.

Founded in 1997, Consumer Directed Choices is headquartered in Albany, NY. Today, we continue to be run by a diverse group of people with disabilities as well as others with a shared passion for changing how home care service is delivered. We strongly believe individuals should have the ability to determine their own care and lives to the greatest extent possible.

Your caregiver takes care of you.
We take care of them.

Better service for you and your caregiver.
Get started