CDPAP Update: State Department of Health Announces Ongoing Progress in CDPAP Transition, As Home Care Workers Begin Logging Hours With New Statewide Fiscal Intermediary

Approximately 260,000 Consumers Have Taken Action, Including Almost 200,000 Consumers Who Have Started or Completed Registration with PPL

Starting Today, PPL's Time4Care App Is Now Live for Approximately 190,000 CDPAP Workers to Begin Logging Hours for Home Care

Approximately 65,000 Workers Have Already Logged Time in Just Over 12 Hours on First Day

Recent TRO In Federal Court Does Not Stop This Transition from Proceeding, Has No Impact on Consumers That Have Already Started or Completed Registration With PPL

Some Businesses Are Spreading Misinformation in Response to Recent TRO -- And DOH Pushes Back With Facts

Late Registration Window Begins for Consumers and Workers Who Have Not Completed Registration

ALBANY, N.Y. (April 1, 2025) – The New York State Department of Health today announced the start of the Consumer Directed Personal Assistant Program (CDPAP) under the new Statewide Fiscal Intermediary, Public Partnerships LLC (PPL). This transition puts an end to years of runaway administrative costs, and addresses waste, fraud and abuse of the popular Medicaid home care program.

Today, PPL's Time4Care app went live for approximately 190,000 CDPAP personal assistants to begin logging hours for home care. In just over 12 hours on this first day of operation, PPL noted that approximately 65,000 workers have already logged hours. The Time4Care app is available in 11 languages and designed for both consumers and personal assistants.

Today also marks the start of the late registration window for CDPAP consumers and personal assistants who have not completed their registration by today's deadline.

A limited temporary restraining order (TRO) was handed down in federal court yesterday regarding the CDPAP transition and further argument will be heard on Friday. However, the TRO does not stop this transition. The TRO does not apply to the nearly 200,000 consumers who have registered, nor the workers associated with them.

"Make no mistake – starting today Public Partnerships LLC is the statewide fiscal intermediary for CDPAP and despite ongoing efforts by hundreds of middlemen who have bloated the program for many years, hundreds of thousands of New Yorkers have listened to the facts and taken the necessary steps to ensure continuation of their home care services," State Health Commissioner Dr. James McDonald said. "This is a limited order and for the vast majority of consumers and workers in the CDPAP program, nothing changes. For those who haven't registered with PPL and would like to remain in CDPAP, I urge you to reach out, take advantage of the State's late registration window and get that process started today."

Some of these middlemen are now falsely telling consumers and personal assistants that they do not need to register and that personal assistants registered with PPL should not use PPL's Time4Care system. This misinformation is a disservice to the very consumers these middlemen claim to be committed to protecting.

Here are the facts about the order:

  • The temporary restraining order does not pause the State's transition to PPL. Consumers can still register without pause.
  • Those caregivers whose consumers have registered with PPL should use PPL's Time4Care system to log their hours.
  • Those caregivers whose consumers have registered with PPL should submit their timesheets to PPL and not their former fiscal intermediary to ensure timely payments.
  • The TRO only applies to those consumers who have not registered with PPL.
  • The requirements of CDPAP remain unchanged. As has always been true, all CDPAP consumers still need to work with FIs that have a valid service authorization.

Hereare the CDPAP facts:

Fact: Consumers and caregivers should register with PPL. Completing registration guarantees caregivers can continue to be paid for providing these vital services.

Fact: Eligibility for CDPAP will NOT change. New Yorkers currently enrolled in CDPAP will keep their services.

Fact: CDPAP consumers keep their trusted caregiver. Remember, Personal Assistants must transition to the Statewide Fiscal Intermediary.

Fact: The transition saves taxpayers $1 billion a year. This is a commonsense effort that protects services for CDPAP consumers while reducing wasteful administrative spending going to middlemen and Medicaid fraud.

PPL is offering Personal Assistants competitive wages and a robust benefits package that includes paid time off, holiday pay, overtime, participation in a health benefits plan and 401(k) plan, paid professional development training, paid family leave and more.

PAs whose consumers live in Bronx, New York, Kings, Queens, Richmond, Nassau, Suffolk, and Westchester counties also receive a flex card with funds to use on medical and dental expenses, medications, transportation and other health related expenses.

PPL currently has a total of 42 facilitators supporting the transition efforts. Through this diverse alliance, New York will deliver a stronger CDPAP and ensure New Yorkers in the program will receive the high-quality care they need.

Consumers and personal assistants who have not done so and would like to remain in the CDPAP program must complete their registration as soon as possible through one of the following options:

Option 1: Call PPL's support center at 1-833-247-5346 or TTY: 1-833-204-9042 and a PPL team member will help you complete the process.

Option 2: Access PPL@Home by going to PPL's website at pplfirst.com/cdpap.

Option 3: Work with PPL or another approved CDPAP facilitator who can guide you through the process. A list of approved CDPAP facilitators can be found here: CDPAP Facilitators | PPL First.

The reforms being made in New York directly address the runaway costs of the program and root out fraud and abuse, including a recently discovered $68 million fraud scheme and hundreds of millions more lost to administrative middlemen.