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Take Control of Your Care


Consumer Directed Personal Assistance (CDPA) enables you to become an employer who selects and instructs your own Personal Assistant, empowering you to live your life with dignity. As an Employer, you’ll have full control over:

  • Recruitment  
  • Interviews
  • Hiring
  • Training
  • Schedules
  • Terminations


No more eating meals at awkward times, going to bed earlier than you’d like or enduring unwelcome strangers in your home. You can have the help you need, when you need it. 

The Resources You Need For Success

As a Fiscal Intermediary, CDChoices provides you with all the tools you need to succeed as an employer, including:

  • Peer Mentor to help you learn the ropes
  • Consumer Lending Library with resources you can borrow
  • Recruitment assistance through PAChoices.com
  • Payroll and program administration services
  • The ability to provide your personal assistant with a competitive wage, health and dental benefits, paid time off, holiday differentials and more

Determining Eligibility

To be eligible for CDChoice’s services, you must be:

  • Eligible for Medicaid (including Long Term Care services)
  • Eligible for home care services
  • Capable of handling the recruiting, hiring, training, supervising and termination of a personal assistant
  • Either a self-directing individual or a Designated Representative (see below)


A Consumer is considered self-directing if he or she:

  • Has the desire and ability to make lifestyle choices
  • Has the ability to organize the environment to implement those choices
  • Has the capability to understand the consequences of those actions and willingness to take responsibility for them

A Designated Representative, meanwhile, is a legal guardian or responsible adult who is able to demonstrate to the local Department of Social Services (DSS) or Managed Care Organization (MCO) that he or she is willing and able to assist the Consumer with the responsibilities involved in Consumer Directed Personal Assistance. For example, a parent of a child with disabilities, an adult child of a senior parent with dementia, or a trusted friend or neighbor could all work with CDPA as a Designated Representative.

Consumers also have the option of handling some of the tasks themselves, while allowing a Designated Representative to provide additional assistance when necessary.

**CDChoices does NOT determine who is self-directing. This decision is made by the local DSS or MCO.

How to Apply

To use CDPA you must have Medicaid. If you do not have Medicaid but think you may be eligible for Medicaid and CDPA, contact your county DSS.

If you already have Medicaid, applying for CDPA is a simple four step process:

  1. If you have Medicaid managed care, contact your Managed Care Organization (your health plan). If you do not have Medicaid managed care, contact your county DSS.
  2. A Caseworker and/or Nurse will evaluate you to make sure you’re a good fit for CDPA. Be sure to mention any nursing tasks you’ll need, and tell your evaluators you want to work with CDChoices.
  3. DSS or your Managed Care Organization (not CDChoices) will decide your eligibility and the number of hours of care you can use each week. If they determine you are eligible, they’ll send CDChoices a referral.
  4. CDChoices will contact you to explain how the program works, the Medicaid rules you must follow and the required paperwork. CDChoices will also set you up with access to our resources, including a Peer Mentor and information on how to recruit, hire and train your Personal Assistant(s).

Don’t leave your care up to someone else. Call your county DSS or Managed Care Organization today, and tell them you want Consumer Directed Personal Assistance!


CDChoices News & Events

Advocacy in Action

March 26, 2019

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CDPA in Action: Jocelyn

March 22, 2019

Jocelyn has been using Consumer Directed Personal Assistance (CDPA) since she graduated from High School in 2011. She lives in Schenectady with her ...

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