When people ask what types of caregivers they can hire under CDPAP in New York City, they often expect a job title list. CDPAP works differently. The program does not classify caregivers by profession. Instead, eligibility is based on relationship rules, ability to perform care, and Medicaid compliance, not credentials or resumes.
CDPAP allows the person receiving care to choose a caregiver they trust, as long as that person meets basic program requirements. Caregivers do not need PCA or HHA certification, which is one of the reasons families explore CDPAP in the first place. The caregiver’s role is shaped by the consumer’s needs rather than by an agency-defined job description.
In NYC, caregivers under CDPAP commonly include adult children, siblings, grandchildren, extended family members, and trusted friends. These individuals must be legally eligible to work in the United States and capable of performing the required daily care tasks. Medicaid does not require prior caregiving experience, but the caregiver must be able to safely carry out the responsibilities involved.
There are also clear exclusions. Spouses are not allowed to be paid caregivers under CDPAP, and parents of minor children cannot be paid caregivers. Some legal guardian relationships are restricted as well. These rules are enforced statewide and apply fully in New York City, regardless of personal circumstances or availability.
Another important factor is consumer direction. The caregiver works under the direction of the person receiving care or a designated representative. This means the caregiver is not supervised by an agency and does not follow an externally assigned care plan. Families must be comfortable training, supervising, and managing the caregiver themselves. This structure is what allows flexibility but also requires accountability.
Caregivers are paid only for hours authorized through Medicaid after an assessment. They must complete payroll onboarding and submit timesheets through the approved system. Private side payments or work outside authorized hours are not allowed and can create compliance issues.
CDPAP works best when families want a familiar caregiver and can manage the responsibilities that come with a consumer-directed model. When families want trained staff, agency oversight, or backup coverage, traditional home care programs such as PCA services may be a better fit. Individuals with developmental disabilities may also qualify for OPWDD programs, which provide structured long-term support.
If you are exploring PCA or OPWDD options in New York City and want guidance on those programs, you can visit FamilyCaregiverNY.com.