CDPAP vs. PPL: Understanding the Difference That Matters!
- Cicely Braithwaite
- Oct 16
- 4 min read
In New York, the Consumer Directed Personal Assistance Program (CDPAP) is an essential lifeline for individuals needing help with daily living activities. Unfortunately, there is often confusion about the role of the Fiscal Intermediary, specifically PPL (Public Partnerships, LLC). Many people mistakenly refer to CDPAP as PPL, which obscures the distinct responsibilities of these entities. This blog post clarifies PPL's position as a Fiscal Intermediary within the CDPAP framework, helping individuals better understand this crucial program.
What is CDPAP?
The Consumer Directed Personal Assistance Program (CDPAP) is a Medicaid program allowing individuals with disabilities or chronic illnesses to hire their own personal assistants. This initiative empowers consumers to choose who they want for assistance, whether a family member, friend, or a hired aide. In fact, studies show that nearly 62% of participants feel more satisfied with care when they have a choice regarding their assistants.
CDPAP is designed to offer flexibility and autonomy, allowing individuals to tailor their care to their specific needs. This program is particularly advantageous for those who may not thrive in traditional home care settings, fostering a more personalized approach to assistance.
The Role of Fiscal Intermediaries
Fiscal Intermediaries (FIs) play a vital role in administering CDPAP. They manage the financial aspects of the program, such as processing payroll for personal assistants, handling tax withholdings, and ensuring compliance with Medicaid regulations.
In New York, PPL is one of the primary Fiscal Intermediaries for the CDPAP program. However, it is essential to note that PPL is not the program itself but serves as a service provider that facilitates the financial management of CDPAP.
Clarifying the Misconception: PPL vs. CDPAP
The confusion between PPL and CDPAP often arises from the terminology used in discussions about the program. While PPL is a Fiscal Intermediary, CDPAP is the overarching program that allows consumers to direct their care.
When individuals mistakenly refer to CDPAP as PPL, they overlook the broader context of the program. It is crucial to understand that PPL is one of several Fiscal Intermediaries available in New York. Each FI may offer different services, support, and resources, but they all operate within the same CDPAP framework.
How PPL Functions as a Fiscal Intermediary
PPL's main job as a Fiscal Intermediary is to manage financial transactions related to the CDPAP program. This includes:
Payroll Processing: PPL handles the payroll for personal assistants, ensuring they are paid accurately and on time, including calculating hours worked and overtime.
Tax Withholdings: As the payee of record, PPL is responsible for withholding taxes from personal assistants' wages, ensuring compliance with both federal and state tax regulations.
Compliance and Reporting: PPL is tasked with maintaining compliance with Medicaid regulations, which includes accurate record-keeping and submitting necessary reports to the state.
Support and Resources: PPL offers support to consumers and personal assistants, including guidance on hiring, training, and managing personal assistants effectively.
Benefits of Using PPL as Your Fiscal Intermediary
Choosing PPL as your Fiscal Intermediary provides several advantages for individuals participating in the CDPAP program:
Expertise: PPL has a strong background in managing the financial aspects of CDPAP, ensuring that consumers receive accurate and timely support.
Streamlined Processes: PPL's systems are designed to simplify payroll and tax management, making it easier for consumers to manage their personal assistants.
Dedicated Support: PPL offers customer service to assist consumers with questions or concerns about their personal assistance services.
Comprehensive Resources: PPL provides a wealth of training materials and guides to help consumers and personal assistants navigate the program effectively.
Registering with PPL
To receive CDPAP (Consumer Directed Personal Assistance Program) services in New York State, you must first register with Public Partnerships (PPL) — the state’s designated Fiscal Intermediary (FI).
PPL handles the required enrollment paperwork, payroll, and compliance pieces for personal assistants hired under CDPAP. Without registering with PPL, families and caregivers cannot begin or be paid for CDPAP services.
If you’re new to CDPAP, start by visiting PPL’s New York CDPAP page to complete the registration process before hiring or scheduling any assistants.
The Importance of Understanding the Distinction
Grasping the difference between PPL and CDPAP is essential for individuals and their families. Recognizing that PPL is a Fiscal Intermediary, not the program itself, enables individuals to make informed decisions regarding their care and financial management.
This clarity also empowers individuals and helps them navigate CDPAP's complexities more effectively. When individuals understand the roles of different entities within the program, they can communicate their needs and expectations more clearly.
Final Thoughts
Understanding the role of PPL as a Fiscal Intermediary in New York's CDPAP program is vital for individuals seeking personalized care. By clarifying the distinction between PPL and CDPAP, individuals can better navigate the program and make educated decisions about their care.
Staying informed about the options and resources available is essential as the landscape of home care evolves. Recognizing the importance of Fiscal Intermediaries like PPL enables individuals to take control of their care and ensure they receive the necessary support.
According to a 2025 survey conducted by Public Partnerships (PPL), most CDPAP participants in New York reported high satisfaction with their care and support services, rating overall satisfaction 4.04 out of 5 and the timekeeping system 4.27 out of 5.
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