Providing Fiscal Intermediary Services for CDPA Consumers in New York State  

Since December 2001, CDChoices has been an enrolled provider within the New York State Medicaid- funded program called Consumer Directed Personal Assistance (CDPA). CDPA serves Medicaid recipients who choose to participate in this model, either as a self-directing consumer capable of managing their own care or having chosen a designated representative to act on their behalf. These recipients have a medical need for home care services, including skilled nursing tasks.

The CDPA program empowers consumers to enjoy a greater level of autonomy and independence in deciding their own course of care. Once completing the required eligibility assessments, the consumer has an increased level of flexibility to determine what kind of personal care they wish to receive as well as the frequency of appointments.

Consumer as Employer

With CDPA, eligible consumers directly employ and supervise personal assistants to help them with medical and personal care. Instead of being dependent upon decisions made by strangers, consumers using CDPA have complete control over recruiting, hiring, training, supervising, and terminating their personal assistants, allowing for a level of freedom and independence unheard of under traditional home care models.

What is a Fiscal Intermediary? 

CDChoices facilitates the process by acting as a fiscal intermediary (FI). In this role, we provide payroll and program administration services for consumers who employ personal assistants. There is no employer/employee relationship between the personal assistant and CDChoices.

On behalf of the employing consumer, and by contract with the county Local Department of Social Services (LDSS) and/or Medicaid Managed Care Organization (MMCO, CDChoices is responsible for:

Processing Payroll for Each Personal Assistant 

We ensure that your personal assistants continue to receive regularly scheduled pay for their services. This allows you to focus more time on your long-term care and ensures that your care provider receives their compensation on time. In fact, CDChoices is one of the only fiscal intermediaries that process payroll on a weekly basis! 

Monitoring Assessment and Employment 

Acting as an employer, the consumer is responsible for hiring, onboarding, and training their chosen personal assistant. Our team will help guide you through the employment process to ensure compliance with New York State program eligibility requirements. The New York State Department of Health also requires that all personal assistants complete a health assessment upon hire and annually thereafter. CDChoices will assist you in keeping track of these due dates and notify you when your personal assistant is clear to work.

Benefits Administration 

Compensation for personal care assistants can extend beyond a paycheck for their services. Many are also eligible for other benefits, such as medical and dental insurance, unemployment, worker’s compensation, and paid time off. Our team will assist you and your personal assistant with the necessary and often complex paperwork required to obtain the benefits they are entitled to. 

Monitoring Consumer Agreement 

The CDChoices team will assist CDPA consumers and employers in the completion of the consumer agreement to ensure compliance with the New York State program eligibility requirements. This agreement outlines the responsibilities that the consumer or designated representative accepts as the employer. 

Corporate Compliance Assistance

As employers, CDPA consumers are required to adhere to relevant corporate compliance regulations. We offer assistance with maintaining corporate compliance and provide informational support for training, supervision, advocacy, and personnel management.

Get Fiscal Intermediary Assistance Today 

CDChoices assists CDPA consumers with managing the program’s financial obligations and program compliance within New York State’s regulations. By providing you with a complete fiscal solution, you are able to spend less time on the administrative responsibilities of your care and instead focus more on enjoying your empowered independence. 

CDChoices consumers can offer their NEW caregivers sign-on bonuses!
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