On April 14,the Department of Health issued interim guidance on the Executive Order requiring employers to provide face coverings to employees. It is unclear from this guidance whether the fiscal intermediary or consumer is responsible for procurement and distribution of masks to personal assistants.
Individual fiscal intermediaries will need to make their own decisions about how to comply with this guidance. If additional clarification or guidance from the Department becomes available, it will be posted here. Despite consumers going without services and personal assistants falling ill, the Department still requires that new personal assistants undergo health assessments, immunizations and tuberculosis tests before they can work.
Initial Community Health Assessments: Still required but may be done via telehealth. MLTC enrollment eligibility criteria remains unchanged. Annual Health Assessments for Personal Assistants: Initial health assessment, including TB test and vaccines, are required, but annual requirement for current PAs is waived. Mar 4, Advocacy Updates. March 2, Ms. Dec 10, News. Oct 8, Advocacy UpdatesNews.
Several individuals have been personally contacted by a representative from the Department of Health after sending a letter to This guidance covers four areas relevant to CDPA: 1. Community Health Reassessments: 6-month recertification assessments are suspended. Mailing List Sign Up.The r evised notice is posted here. DOH has asked plans and the Open Doors program to identify those members actively working on a discharge plan, so that they will not be disenrolled.
The revised notice gives members an opportunity to request an assessment now, which will put the disenrollment on hold. If a member requests a Fair Hearing before May 1,the disenrollment will be put on hold as "Aid Continuing. Centene acquires Wellcare - Wellcare MLTC plan members will be transitioned to Fidelis on June 1, unless they select a different plan before then.
T his notice should be sent out after April 1st. If they change plans before then, they risk losing Transition Rights - the right to have the new plan required to continue their same HOURS and other services for days. Also see this Fact sheet. Who is affected? Read this Fact Sheet to know your rights. On Feb.
Alarm Over Proposed Cuts to State Program Overseeing Home-Health Aides
The notices were scheduled to be mailed outside NYC on Feb. The new dates for mailing have not been set. The original disenrollment notice is attached to the letter and posted here.
That if they are disenrolled, they may re-enroll in the plan within 6 months without requiring a new Conflict Free assessment. The notice is being further revised, and will be posted here when final. What are rights of members who are reassessed but determined by the plan unable to return home? The notices and procedures are under discussion. See this article for more information about this change approved by CMS in late Decemberwhich excludes from MLTC people in nursing homes for more than 3 months.
This request has been pending since It is known as "carving out" the nursing home benefit from the MLTC benefit package - a reversal of the policy in effect since in which the nursing home benefit was "carved in" to MLTC. The State Dept. First, they will stop adult dual eligible nursing home residents who are not yet in MLTC plans from being enrolled in one. Enrollments scheduled for February are canceled - see notices.
The article also has links to the State's original proposal to CMS to make this change, and to comments submitted by NYLAG and other advocacy organizations opposing the change, primarily because plans will be incentivized to avoid authorizing high-hour home care plans for those with extensive needs, since the plan can avoid high costs altogether if the member is placed in a nursing home and eventually disenrolled from the plan.
Stay tuned for more information about this. No procedures have been issued as of Jan. Both of these changes were approved in a C MS letter dated Dec. On Oct. In the first reduction on Oct. In the rest of state, the limits last year were 1 LHCSA per 45 enrollees, and now 1 per 60 enrollees. Some advocates disagree and believe transition rights should apply. There are TWO types of exceptions:. Former members of all of these three plans are reminded that their new MLTC plan may not reduce their services for days after their enrollment.
They must give advance written notice of a reductionwith the right to request a plan appeal with Aid Continuing. See more on appeals in this article. See, for example, this Fair Hearing decision May Those who do not choose a new plan by that date will be auto-assigned.
Based on the state's enrollment datamost ICS members appear to have chosen VNS Choice, as that plan's enrollment increased by over members in Aprilwhich is nearly the number that had been enrolled in ICS.To see if you are eligible to get started with FreedomCare click here. Which means…. No one can take care of you like family or close friends.
To them your health is more than just a job. Of course you don't want to be a burden to your loved ones. After you enroll, your chosen caregiver will get paid for taking care of you. You must use a Fiscal Intermediary to ensure your chosen caregiver gets paid. Freedomcare is the leading fiscal intermediary in the state and will help guide you through the process.
If you have additional questions give us a call at Our friendly staff will answer any concerns that you have.
As we stated above, CDPAP is a Medicaid programwhich means no extra cost to the beneficiary of the home care service.
New York put people with disabilities in charge of their own care. That could all change
Pretty much any adult that is legally able to work can be your caregiver. This includes family and friends! Below are some common questions we receive regarding caregiver eligibility:. A: It depends. Children aged 21 or older can choose their parents to be their paid caregiver. Children younger than 21 cannot choose their parents to be their paid caregiver. A: Yes. CDPAP home care consumers can choose their siblings to be their paid family caregivers. A: Yes, provided that all their required papers proving their legal status are up to date.
Unlike classic home aides who are limited in the tasks and medications that they can administer, CDPAP attendants can do more, akin to nurses who must usually come to the house to do such tasks. Some of these actions include administering oxygen and injecting insulin into the consumer.When searching for home health careconsumers are often encouraged to use consumer directed services.
CDPAP is a Medicaid program arranged by a state authorized home care fiscal intermediary in which the consumer, or relative of the consumer, directs how, when and by who they receive personal home care assistance from.
Under the guidelines of CDPAP, consumers can opt to have a friend, relative, neighbor, or previously hired aide to act as their personal assistant, instead of an agency provided aide.
Many consumers appreciate the flexibility of the program, and are interested to learn how to have a family member get paid to provide care for them.
When the term CDPAS is used it refers to the services offered within a program such as personal home care, assistance with activities of daily living ADLsand the companionship provided throughout the course of the day. While CDPAP and CDPAS may cause confusion for some, they are in essence one in the same — one refers to the program itself and the other to the particular services offered within the program.
We do not administer the program. Embed: Start at:. Please complete this form and we will email you an outline of how we break down the 3 basic parts of enrolling in CDPAP. Please complete the form below and we will email you an outline of how we break down the 3 basic parts of enrolling in CDPAP. Get Started: Before a person can receive services, his or her doctor must send a completed Physician's Order for Services to the local social services district, which then completes a social and nursing assessment.
A nurse assessor then determines whether the recipient can appropriately participate in CDPAP, and recommends the amount, frequency and duration of services.
Recipients must be able and willing to make informed choices regarding the management of the services they receive, or have a legal guardian or designated relative or other adult able and willing to help make informed choices.
The consumer or designee must also be responsible for recruiting, hiring, training, supervising and terminating caregivers, and must arrange for back-up coverage when necessary, arrange and coordinate other services; and keep payroll records. Click here if you think you have an immediate need for Consumer Directed Personal Assistance Services and would like more information on how to get your eligibility processed more quickly for these services. Navigation menu.
Services can include any of the services provided by a personal care aide home attendanthome health aide, or nurse. Recipients have flexibility and freedom in choosing their caregivers. The consumer or the person acting on the consumer's behalf such as the parent of a disabled or chronically ill child assumes full responsibility for hiring, training, supervising, and — if need be — terminating the employment of persons providing the services.
Requirements of CDPAP Recipients must be able and willing to make informed choices regarding the management of the services they receive, or have a legal guardian or designated relative or other adult able and willing to help make informed choices. Questions or comments: medicaid health. Your browser does not support iFrames.Let friends in your social network know what you are reading about.
People with disabilities and advocates are worried about proposed changes in Gov. Andrew Cuomo's budget that could alter the way they hire aides. A link has been sent to your friend's email address. A link has been posted to your Facebook feed. Welcome to our new and improved commentswhich are for subscribers only.CDPAP English Training Video
This is a test to see whether we can improve the experience for you. You do not need a Facebook profile to participate. You will need to register before adding a comment. Typed comments will be lost if you are not logged in. Please be polite. It's OK to disagree with someone's ideas, but personal attacks, insults, threats, hate speech, advocating violence and other violations can result in a ban.
If you see comments in violation of our community guidelinesplease report them. Nick Astor, who has cerebral palsy, could lose the ability to continue living at Purchase College due to the New York state budget. He lives in a dorm, goes out with friends, hangs out around campus a favorite spot is an alcove in the Dance Building and was even able to go to a friend's house during the break. This college experience almost didn't happen for Astor, who has cerebral palsy and relies on aides to help him with the tasks of daily living.
His standoff last summer with Purchase College over providing appropriate dorm space for his aide made headlines; finally, Gov. Andrew Cuomo stepped in and urged Purchase to accommodate his needs.
Now Astor is afraid he may lose it all. He points to a portion of Cuomo's budget proposal that would upend programs he relies on to live independently. Several advocates for people with disabilities say the state's plan would blow up the state's entire self-directed care model. Those kinds of alternatives are more costly, and limit people's independence. CDPA has been an integral part of a societal and governmental commitment to keep people out of institutional settings, as well as a way to save money under the state's Medicaid reforms.
It's unclear why Cuomo's budget plan pushes such changes. Many Fiscal Intermediaries, often mom-and-pop agencies, have run into trouble with sloppy record keeping. The elderly, children and families in poverty, and people with disabilities can get Medicaid coverage. Some have been critical of the CDPAP program because family members and friends are often hired as aides. In some ways, family and friends are preferred caregivers because the assistance needed is for things like showering, dressing, toileting.
O'Malley's organization is pushing people to contact the governor's office and advocate for keeping CDPAP functioning. Martinez said the consumers' voices should be heard. They can manage their life with some supports. Nick Astor is living proof of that. Nancy Cutler is an Engagement Editor.
Twitter: nancyrockland. Share This Story!CDPAP is a fantastic program that allows home care consumers to hire the caregiver of their choice, including most family members and friends. We do not administer the program. Now in her lates, she suffered from a number of health complications that caused her to require help with activities of daily living.
She also required daily insulin shots for her diabetes. Her daughter, Michelle, was there as often as possible, but she herself had to work to support her own family. Michelle wanted to get her mother a home attendant, but she knew that her mother would be reluctant to let a stranger into her home. Additionally, even if she could get her mother to accept a home attendant, the home attendant would not be allowed to administer the daily insulin shots that her mother required.
Since personal assistants are allowed to administer skilled services, Michelle was able to give her mother the daily insulin shots. This allowed Michelle to give her mother the kind of care that only a daughter can provide, without compromising on her responsibilities to her own family. One of the highlights of the program is that it allows consumers to hire family members and friends.
There are other factors that can potentially affect your eligibility, but if you meet the above criteria, we recommend you give us a call to see if you can enroll. Most consumers must be enrolled in some form of Medicaid Managed Care to enroll. The good news is, you may have a choice as to what type of plan you enroll in.
We break down the process into three components:. Consumer Forms — Certain forms are required. Concerned about all the details? Give us a call and let one of our specialists explain the entire application process and guide you through your enrollment.
What are you waiting for! Call us now at A specialist will guide you through the entire enrollment process. It really depends on your situation.
However, you will certainly need something. We recommend you give us a call so we can give you a clear picture of what you will need. We will even help you with gathering the necessary forms from your doctor and other providers. Not all consumers receive the same number of hours. In fact, there are often vast differences between consumers in the number of hours for which they are approved. Usually, your Medicaid Managed Care plan will make the final determination on how many hours you will receive.
Your hourly pay rate and salary may depend on a number of factors. Please call us to find how much you may get paid. Consumers can hire almost anyone that is legally allowed to work to be their caregiver, including most family members and friends. Those caregivers can then get paid to take care of their family members or friends. However, there are some exceptions. Please keep reading for answers to questions about whether the caregiver can live at the same address and hiring a family caregiver of your choice.