CDPAP is different from traditional home care because it allows the patient to choose almost any adult they trust. Extended family members and close friends may participate if they pass the program’s required health and employment screenings.

Examples of allowed caregivers include siblings, cousins, adult grandchildren, nieces, nephews, in-laws, and friends. The caregiver does not need a professional license. They need to be physically able to complete the tasks the patient requires.

New York has firm restrictions that apply statewide and to every fiscal intermediary.
The following individuals cannot be paid caregivers under CDPAP:

  • A spouse
  • A parent of a child under twenty-one
  • A legal guardian
  • Anyone who cannot physically or medically perform the required duties

These rules come directly from New York State Medicaid and CDPAP policy.

A CDPAP application will not be approved if:

  • Medicaid is not active
  • The patient does not meet the medical need for home care services
  • The chosen caregiver is a spouse, parent of a minor, or legal guardian
  • There is no designated representative for a patient who cannot direct care
  • The caregiver does not pass the required screenings

Every case is reviewed individually by the Medicaid plan and the fiscal intermediary.

Some people qualify for other Medicaid programs even when CDPAP is not available.
For example, the Personal Care Aide (PCA) program and OPWDD services have different rules and may allow relatives that CDPAP does not. These programs sometimes move faster and offer similar support for families who need a caregiver at home.

Navigating New York Medicaid programs can feel overwhelming, especially when you are caring for a loved one who needs daily support. Understanding who qualifies for CDPAP is only the first step. Suppose you want help reviewing your situation or exploring alternatives like PCA or OPWDD. In that case, our team can guide you through the process and connect you with agencies that complete the official enrollment.

You can reach us through our secure contact page at
familycaregiverny.com

We review your information, explain which programs may apply, and help you move forward with confidence.

This article is based on publicly available New York State Medicaid and CDPAP guidance. It is for general educational purposes only and does not replace legal advice or an official Medicaid eligibility determination.