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Can a Family Caregiver Get Paid by Medicaid?

Yes, you can get paid through Medicaid as a Family Caregiver to your loved one through a program called “CDPAP” which means Consumer Directed Personal Assistance Program. This is a Medicaid-sponsored plan that empowers you to personally choose, evaluate and hire a friend or family member as your caregiver.

Yes, you can get the care from someone you love and trust. The client has to be a qualified Medicaid recipient, must have an ongoing medical condition, must need or require assistance with activities of daily living, and must be able to “self-direct” care or appoint someone to do so.

The person providing the care cannot be a spouse, must be able, must be legally allowed to work in the U.S., and must be able to administer regular, skilled and custodial services. One of the benefits of the CDPAP program is that it enables patients or their designated representatives to allow family or friends to get paid to take care of them.

In the past, when someone required home care health services, or was already having services provided, it was usually through the health agencies or private vendors who would make a majority of the pertinent decisions regarding the patient’s care. This may have included the selection of who the aides providing the service would be, scheduling when these aides would come, and provide those said services and the necessary training for the aides.

According to CDPAP guidelines, either the applicant or the one designated to supervise the applicant’s care, who is called their “designated representative” (“DR”), are the ones that make the healthcare decisions, although it is they who bear all responsibilities (the DR and/or the patient).

The applicant or DR can decide who the aide or Personal Assistant will be, and what schedule will work for both of them. They also will decide which services will be provided by the CDPAP Personal Assistant. The applicant or the DR is responsible for finding the potential Personal Assistant candidate and having them go through the application process.

Although it provides the applicant with the ability to choose nearly anyone they want as the Personal Assistant, it means that they can’t just rely on some pre-organized list of candidates. Training must also be provided to the potential aide, and it is the responsibility once again of the patient or DR to arrange.

Besides for the patient being given the ability to decide who’s hired to provide them with home health care, they are also the one to monitor the one chosen, and if need be, to terminate them as the Personal Assistant.

These actions cannot be implemented by the insurance company or government agency without authorization by the applicant or DR. Remember that, without CDPAP, all of those decisions are primarily, if not entirely, decided by the health care providers and Home Care agencies.

CDPAP aides may do more for the applicant than the classic home care aides who are limited in the tasks and medications that they can administer, CDPAP attendants can do more, some can do actions such as administer Oxygen and injecting insulin into the applicant.

One of the goals of CDPAP is to make home health care more efficient and more enjoyable for the applicant. Medicaid believes that with the applicant or DR calling more of the shots, it will mean less of a turnover on the Personal Assistants providing care, translating therefore into overall better health care for the applicant, therefore also avoiding the need for a nursing home.



Joanna Perez
Russo Law Group, P.C.
100 Quentin Roosevelt Blvd., Suite 102
Garden City, NY 11530



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