
Empowering Independence
The CDChoices difference is clear; our passion is empowering seniors and people with disabilities to remain independent by serving as a premier provider of CDPA, a NYS Medicaid Program for self-directed home care.
As a Fiscal Intermediary, it’s our goal to give you complete control over the recruiting, hiring, training, supervising, and terminating of your personal assistant(s). We provide payroll and program administration services so you or your loved one don’t have to.
What makes us different?
- 20 years of excellent customer service
- Awarded 2019 Non-Profit of the year
- Paid training hours available for your caregivers
- Payroll processed on a weekly basis
- Overtime permitted
- YOU set your caregiver’s pay rate
- Save for on-demand bonuses
- User-friendly EVV
- Choose from hundreds of caregivers with exclusive access to our Workforce Recruitment Portal
- We pay in full for your caregiver’s annual NYSDOH health assessment requirements
Other Reasons to Choose CDChoices as Your Fiscal Intermediary
– Find the Right Personal Assistant for Your Needs
As a fiscal intermediary, we are committed to elevating consumers’ ability to seek the quality at-home care they deserve. As part of this mission, we also provide a Workforce Recruitment Portal that allows you to list your employment opportunity and recruit personal assistants that may be interested and qualified to meet your requirements for care. The portal’s easy-to-use interface allows both consumers and assistants to save time on finding the right person for their needs.
– Relieve Yourself of Administrative Tasks
After recruiting the right candidate, the consumer is responsible for onboarding, training, and overseeing the personal assistant. In addition to these duties, compensating the caregiver is an essential function.
As part of our services as your fiscal intermediary, we can assist consumers with CDPAP-related financial and administrative tasks such as
● Payroll processing
● Tax withholding
● Monitoring assessment and employment
● Benefits administration
● Consumer agreement monitoring
● Compliance assistance
Because we fulfill these essential responsibilities on your behalf, you can spend more time focusing on receiving the care that you need and worrying less about paperwork. Personal assistants also benefit from the peace of mind that they will receive their accurate compensation on time and have full and transparent access to the benefits they are entitled to.
Call UsCapital Region Chamber of Commerce 2019 Non-Profit of the Year Winner
The 2019 Nonprofit Organization Award was provided to CDChoices for excelling in outstanding service outcomes, innovative programming that adapts to changing community needs and achieves desired goals, consistently employing ethical management practices, creating an empowering work environment, successfully navigating a major change in operations, and effectively collaborating or partnering with other organizations in the region.

Empire Whole Health Hero Award Winner
Consumer Directed Choices Inc. was named 1 of 25 Empire Whole Health Heroes for 2021 by the Times Union and Blue Cross Anthem. This award recognizes 25 exceptional New York leaders and companies who demonstrate a commitment to public safety and wellness in the Capital Region.

A+ Better Business Bureau Rating
Guilderland Chamber of Commerce 2023 Best Place to Work Award Winner!
CDChoices is honored and thrilled to be presented with this award by the Guilderland Chamber of Commerce. It has only reinforced our commitment to providing our employees a positive and fulfilling work environment. Success as a company is a direct result of our team members’ hard work and dedication.
