It's easy. Upgrade your fiscal intermediary.

$21+ an hour with holiday and overtime pay.
(Pay rates vary by region)

I am a caregiver and want
better pay and benefits.

Ask your employer about switching to CDChoices.


CDPAP Caregivers

  • Competitive wages
  • Paid time off
  • Holiday pay differential
  • Health and dental insurance
  • 401(k) retirement plan
  • Direct deposit and Skylight Card options
  • Annual health assessments paid for by Consumer Directed Choices
  • Additional benefits, such as medical bridge insurance

Qualifying Requirements

  • No licenses or certifications required
  • You must be at least 18
  • You must be eligible to work in the US
  • You cannot be the spouse or custodial parent of the consumer
  • You must not have been excluded from working in federal health care programs
  • You must complete the annual health assessment from New York State

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Who requires care?
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“I couldn’t bear to send him to a nursing home where he’d have to wait for several hours to get dressed, couldn’t do what he 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.”

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.