FAQ: CDPAS

image46

What is CDPAP (or CDPAS)?

CDPAS stands for Consumer Directed Personal Assistance Services, and is also known as CDPAP or CDPA. The CDPAS program enables severely disabled and chronically ill individuals to hire, train and supervise the Personal Assistant home care worker of their choice. This revolutionary home care program allows severely disabled individuals to live independently, with freedom and dignity.  Further, CDPAS is administered at a lower cost than a traditional home care program, saving New York State Medicaid millions of dollars every year. 

Do I qualify for CDPAS?

To be a TruCare CDPAS consumer, you must be a Medicaid-eligible person; and you must also be a person with a disability.  

Where do I find a Personal Assistant?

As a CDPAS consumer, you have complete control in who you hire as your Personal Assistant. The person you hire does not need to have any special certifications. 

What are the Roles & Responsibilities of a Consumer?

  1. Recruit, interview, train, and schedule the Personal Assistant of your choice. 
  2. Manage your own care plan within the authorized hours given to you by your managed care plan (or the Local Department of Social Services, depending on which entity authorizes your care), and inform TruCare staff of any changes that may affect your service authorization.
  3. Direct the timely and accurate completion of your PA's time sheets, employment documents, and annual health assessments.
  4. Keep TruCare informed of any changes in status of both Consumer and PA such as address, telephone number, and incidents of hospitalization.
  5. Develop an emergency backup system that can manage emergency schedule changes, vacation days, and holidays.
  6. Maintain a safe and suitable work environment.
  7. Treat the PA with the respect and consideration with which you would like to be treated.

What are Roles & Responsibilities of a Self-Designated Other (SDO)?

In cases where the Consumer is non-self-directing, their roles and responsibilities (described above) can be taken on by a legal guardian or responsible adult, known as a Self-Designated Other (SDO).  

What Is the Difference Between a Consumer and a Self-Designated Other (SDO)?

The consumer is the person who receives the personal assistance services. A designated representative is a person who agrees to accept all of the responsibilities for a consumer who either wants additional help running his / her program or cannot assume the responsibilities needed to do so. This means that the SDO would then take on all of the responsibilities outlined within the Consumer Participation Agreement.  

faq: Health Homes care management

image47

What is the Health Home Program?

 In New York State, many people get their health benefits through the Medicaid Program. Most people are generally healthy. However, others may have chronic health problems and can’t find providers and services. 


Without the right providers and services, it is hard for people to get well and stay healthy. New York State’s Health Home program was created with these people in mind. 


The goal of the Health Home program is to make sure its members get the care and services needed. This may mean fewer trips to the emergency room or, less time spent in the hospital. It could mean getting regular care and services from doctors and providers. Or, finding a safe place to live, and a way to get to medical appointments. 

How do I enroll in a Health Home?

 You can talk to your current service provider or you can contact a Health Home at any time to find out if you are eligible to enroll.


You also may be referred to a Health Home by Medicaid, based on care and services you have already received. Or, you can be referred by your Managed Care plan, doctor, specialist, hospital emergency room or discharge planner, or Social Service District. 

Is a Health Home right for you?

If you are a Medicaid recipient or believe you may qualify for Medicaid, think about the following questions:

  • Do you have chronic or mental health conditions for which you need regular doctors care ?
  • Do you have a doctor you can see when you need to ?
  • How many times have you been in the emergency room or hospital in the past six months ? Twelve months?
  • Do you have a safe place to live ?
  • Do you have someone in your life to help you whenever you need help?
  • Do you have difficulty keeping medical appointments? 

Does it cost me anything to enroll?

 No. Enrollment in the Health Home program is provided free of charge to you, if you are on Medicaid. 

What are the Roles & Responsibilities of TruCare Connections?

image48

  1. Promote Consumer independence.
  2. Serve as the fiscal intermediary between the Consumer and Medicaid by billing Medicaid based on the Consumer’s authorization.
  3. Administer a comprehensive wage and benefits program for Personal Assistants.
  4. Provide a variety of ancillary services including: compliance monitoring, recruitment assistance, emergency preparedness.

What are the Roles & Responsibilities of the Managed Care plan?

image49

  1. Determine if the Consumer is eligible to participate in CDPAS.
  2. Notify all Medicaid-eligible long-term care service recipients of the chance to participate in CDPAS.
  3. Define the level and amount of services required for each Consumer through their locally-approved home care authorization procedure. Authorize reimbursement for PA services as prescribed by the New York State DSS.
  4. Terminate services for any Consumer deemed not appropriate for CDPAS, and if suitable, transfer Consumer to another program.
  5. Provide Consumer with a fair hearing notice. 

What are the Roles & Responsibilities of a Personal Assistant?

image50

  1. Provide TruCare with all employment documents prior to hire, and get an initial physical exam and an annual physical exam while employed.
  2. Complete all designated assignments of the Consumer (or the Self-Designated Other of the Consumer) to enhance the Consumer’s ability to live independently.
  3. Complete a timesheet with actual hours worked at the end of each day.
  4. Respect the Consumer’s health, well-being, privacy, and property.
  5. Comply with the policies and regulations of TruCare Connections, Inc.
  6. Report to TruCare any possible instances of Medicaid fraud.
  7. Notify TruCare when a Consumer gets admitted to the hospital, long-term care facility or is on vacation.  

How do I become a Personal Assistant?

image51

 A Personal Assistant must be hired by TruCare Connections, and:

  1. Be at least 18 years of age.
  2. Be legally eligible to work in the United States and have a valid Social Security number.
  3. Be interviewed and hired by a TruCare’s Consumer.
  4. Provide all necessary information to the Consumer to facilitate enrollment in the payroll and insurance systems.
  5. Complete all required documents, in the manner prescribed by TruCare, with the assistance and direction of the Consumer.
  6. Complete an annual health assessment including all locally required laboratory tests.
  7. Complete New Hire orientation.