CDPAP, a New York Medicaid initiative, empowers individuals with disabilities to oversee their own care. Despite its advantages, many families remain unaware that they can receive compensation for tending to children with disabilities, such as autism. Keep reading to explore the merits of the CDPAP program.
What is a CDPAP Caregiver?
CDPAP stands for Consumer Directed Personal Assistance Program, a Medicaid service catering to chronically ill or disabled individuals requiring aid with daily activities. It grants beneficiaries the choice of nominating a family member or friend to serve as a caregiver.
A CDPAP caregiver aids patients with daily tasks like personal hygiene, meal preparation, light household chores, transportation, and can offer skilled nursing services. The patient assumes responsibility for hiring, training, and supervising the caregiver.
Why Might Someone Need a CDPAP Caregiver?
The CDPAP program enables those unable to live independently to receive care at home, negating the necessity of relocating to assisted living facilities. Moreover, they can receive personalized care and emotional support from a trusted individual.
Elderly, chronically ill, and disabled individuals typically require a caregiver if they:
- Are incapable of self-care
- Require assistance with daily activities
- Seek companionship
CDPAP provides an array of benefits over traditional home care services, such as:
- Empowering beneficiaries to select their own caregiver
- Allowing loved ones to offer care while being compensated
- Enhancing home-based care, potentially reducing hospital visits
- Granting patients control over services, schedules, and the ability to terminate agreements as needed
- Requiring no special licensing or certification for caregivers
- Being a Medicaid program, CDPAP services are free for beneficiaries.
Can a Parent Caring for an Autistic Child Qualify as a CDPAP Caregiver?
Parents can qualify as full-time paid CDPAP caregivers for disabled children aged 21 and above. However, parents of children under 21 cannot act as CDPAP caregivers due to legal guardianship responsibilities.
For parents of autistic children under 21, designating a grandparent or another relative as a CDPAP caregiver or hiring a personal assistant is an option. Parents retain decision-making power regarding qualifications, screening, scheduling assistance, and caregiver training.
If you’re interested in becoming a CDPAP caregiver for your autistic child, follow these steps:
The Process of a Parent Becoming the CDPAP Caregiver for Their Autistic Child
To benefit from CDPAP, your child must be a New York resident with Medicaid or eligibility for it. Here’s what you should do:
- Confirm your child’s Medicaid type
- Different Medicaid plans have varying procedures for CDPAP coordination.
- Managed Care Medicaid involves private insurance coordination for CDPAP.
- Regular Medicaid enrollment is through the New York State Department of Social Services.
- If your child lacks Medicaid but may qualify, contact your local Medicaid office for guidance.
- Note: Medicare doesn’t cover CDPAP, but dual Medicaid-Medicare recipients are eligible.
All applicants, irrespective of their Medicaid plan, undergo assessments for CDPAP eligibility. Two in-home assessments, one from the state and one from the health plan, determine the hours of care, capped at 60 per week, with overtime pay available
Complete required forms. To apply, submit:
- Physician’s order confirming your child’s eligibility for CDPAP.
- PCP Transfer Form, allowing plan transfer if needed.
- Both forms must be completed by a Medicaid-enrolled physician and sent to the local department of social services for evaluation.
- Choose a caregiver
- Upon CDPAP acceptance, select your child’s caregiver.
- Find a fiscal intermediary
- CDPAP mandates the use of fiscal intermediaries contracted by Medicaid. They handle administrative tasks and payments. Local intermediary lists are available for reference.
Who Can Be a CDPAP Caregiver?
- Almost any family member, including siblings, cousins, parents of those over 21, grandparents, and other relatives, can be a CDPAP caregiver.
- Caregivers can also include friends, neighbors, previous in-home aides, or individuals chosen by parents for their child’s home care.
- Beneficiaries can have multiple caregivers
Who Cannot Be a CDPAP Caregiver? The following individuals are restricted from being CDPAP caregivers:
- Legal spouses
- Designated representatives
- Parents or legal guardians of children under 21
CDPAP Caregiver Requirements. To qualify as a CDPAP caregiver, meet these basic criteria:
- Be over 18 years old
- Be a legal New York resident (available in all NY counties)
- Undergo a standard medical exam encompassing drug screening, blood tests, and health checks to ensure physical capability and absence of limitations affecting caregiving abilities.