CDPAP Shake-Up Raises Alarm: What’s Next for New York Families?

New York’s Consumer Directed Personal Assistance Program (CDPAP), a vital Medicaid initiative for elderly and disabled residents, is facing mounting criticism after a major structural overhaul. 

Previously supported by hundreds of different fiscal intermediaries, CDPAP is now being managed by just one — Public Partnerships LLC (PPL). The change, which officially rolled out on April 1, was meant to streamline administrative processes and cut costs. 

But instead of a smoother system, many families and caregivers feel left behind, confused, and overwhelmed.

The new model wasn’t just a simple administrative tweak — it was a complete transformation. And for the 280,000 New Yorkers who rely on CDPAP to maintain independence in their homes, the shift has raised more questions than answers.

As the April deadline approached, lawmakers and health officials scrambled to defend the transition. 

During a tense legislative hearing, Medicaid Director Amir Bassiri openly admitted that the state might miss the enrollment deadline. Senator Gustavo Rivera didn’t hold back, pointing out that the numbers simply don’t add up. “The math is not mathing,” he said, emphasizing the risks to vulnerable patients who could lose access to care.

Despite assurances from health officials, including Governor Kathy Hochul, that the new system would save the state money and reduce redundancy, many caregivers and advocates argue the opposite. They say the hurried rollout has jeopardized continuity of care, and the centralized system lacks the personal touch that patients had grown to rely on.

A key concern surrounding the change is the vendor itself. 

PPL has been criticized for mishandling similar programs in other states like Pennsylvania and Colorado. Caregivers have reported missed payments, poor communication, and even being dropped from the system without warning. 

Lawsuits against PPL in multiple states add to the unease, with many wondering why New York entrusted such a massive responsibility to a company with a controversial track record.

For caregivers like Mary Brundege, whose partner lives with cerebral palsy and endured multiple strokes, the new system is more than an inconvenience — it’s a risk to her loved one’s health. “There’s no reason to trust PPL,” she said, expressing a deep fear that her partner’s life could be disrupted by bureaucratic failures.

At the heart of the matter are real people, who are families, caregivers, and patients who depend on CDPAP not just for convenience, but for survival. The rushed implementation has caused chaos for those trying to navigate the new enrollment process. 

Many are struggling to submit documentation, communicate with the new system, and ensure there are no gaps in care. For a state that prides itself on inclusivity and progressive health policy, the rollout has left many questioning whether patient well-being was ever truly the priority.

What This Means for Home Health Care in New York

This moment marks a turning point for how home health care in New York is perceived and delivered. The backlash against the CDPAP transition highlights the need for a balance between cost-efficiency and compassionate, reliable care. 

As the dust settles, families across the state are looking for home health care providers they can trust.

At Revival Home Health Care, we understand how disorienting sudden changes to critical services can be. That’s why we remain focused on delivering dependable, patient-centered home health care in New York. While systems shift and policies evolve, our commitment to every client’s dignity, safety, and comfort stays the same.

We’re here to help you navigate the challenges, advocate for your needs, and ensure you receive the care you deserve. Contact us today to speak with our experienced care team and find solutions tailored to your unique situation.