CDPAP Transition Continues
(April 1, 2025) Based on provisions enacted in last year’s State Budget, April 1, 2025 is the date by which all individuals receiving Consumer Directed Personal Assistance Program (CDPAP) services as well as their Personal Assistants (PAs), were to have transitioned to the State’s designated single Fiscal Intermediary (FI), Public Partnerships LLC (PPL). While that date has not changed, as we reported last week, the Department of Health (DOH) issued guidance that will allow CDPAS PAs to be paid for hours worked in April even if they complete their registration with PPL after the April 1 deadline. The late registration window is aimed at ensuring that program participants can continue to receive care and that workers who have not yet completed the transition can retroactively receive payments for hours worked in April upon completion of their registration with PPL. The grace period is available to all current CDPAP consumers and workers, including those who have not yet started the registration process, as long as they complete their registration by April 30th. The policy document is here and an associated consumer flyer is here. The DOH CDPAP page is here and the link to PPL is here.
Medicaid Managed Long Term Care Plans (MLTC) as well as Mainstream Medicaid plans continue to meet with DOH and PPL on a daily basis to monitor progress and address challenges. The transition, impacting close to 300,000 individuals receiving CDPAP services, represents a huge undertaking for all involved, especially MLTC plans that have dedicated thousands of hours of care managers’ and other staff time helping to guide their members through the transition and arranging alternative services for those opting for a change. While managed care organizations have experience with state-mandated benefit changes, the four-month window during which the transition is being implemented has strained available resources. However, the efforts show results: a March 31 DOH press release indicates that more than 255,000 consumers had taken action- some registering with PPL, others opting to receive personal care utilizing services other than CDPAS.
Adding to the fray is a court ruling that primarily impacts those individuals who have not yet registered with PPL or who have not switched from CDPAS to Personal Care. The court ruling stems from a suit seeking to delay implementation and issues a narrow Temporary Restraining Order (TRO) covering those who have not yet registered with PPL. DOH indicates that the ruling does not impact consumers and PAs who have already registered with PPL nor does the state believe that it prevents anyone from starting or completing the registration process. The TRO is in place until April 4th at which time a further ruling may be made.
LeadingAge NY Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841