Family caregivers in New York's Consumer Directed Personal Assistance Program (CDPAP) now use one fiscal intermediary for payroll. That company is Public Partnerships LLC, and family hiring continues but pay requires PPL registration and approved time entries.
For dementia families, the aide often is an adult child or friend who provides daily supervision. The program still allows that choice, but paperwork now runs through one statewide system. Missing a registration or approval step can break pay even when care continues.
Medical information disclaimer: This article is for general educational purposes only and does not provide medical advice, diagnosis, or treatment. Always consult a physician or other qualified health professional about symptoms, medications, tests, or treatment decisions.
Table of Contents
- What actually changed
- Who in the family can be paid?
- How do registration and weekly pay work?
- What limits still affect hours and eligibility?
What actually changed
New York's 2024-25 budget authorized one statewide fiscal intermediary for CDPAP, a company that handles payroll and benefits. The Health Department selected Public Partnerships LLC as the only authorized entity effective April 1, 2025 the MLTC Policy 25.03. NY Health Access reports the switch consolidated more than 600 prior intermediaries into PPL the transition explainer. The Health Department says all recipients must now work with PPL, affecting about 280,000 consumers who had to switch.
After transition problems and the Engesser v. McDonald class action, deadlines moved several times. NY Health Access lists Aug. 1, 2025 as the final registration deadline.
Who in the family can be paid?
The Health Department says consumers may hire a friend or family member, including adult children the CDPAP program page. The same source excludes a spouse, designated representative, or parent of a consumer under 21. For dementia care, an adult daughter caring for her mother can fit the paid role.
A husband caring for his wife cannot be paid as her aide under the spouse rule. A designated representative who manages decisions also cannot fill the paid aide role. Check the relationship before starting PPL registration. Families with an excluded relationship need a different paid aide while the excluded person stays involved unpaid.
How do registration and weekly pay work?
Public Partnerships LLC says caregivers must register with PPL before paid work the CDPAP resources page. PPL says aides log hours in Time4Care, its electronic-visit-verification app, for consumer approval. For dementia households, decide in advance who submits hours and who approves them each week. PPL says it pays personal assistants weekly on Thursdays.
It sets time entries due by 11:59 p.m. ET Saturday and consumer approval by noon ET Sunday. Keep one weekly routine because late entries or approvals can disrupt Thursday pay. For dementia care, keep a backup routine for illness or travel weeks.
- Register with PPL before working paid hours.
- Log each shift in Time4Care the same day.
- Ask the consumer to approve by Sunday noon ET.
What limits still affect hours and eligibility?
The Health Department says PPL pays only Medicaid-authorized hours. The same department says separate Sept. 1, 2025 Minimum Needs Requirements changed eligibility for personal-care and CDPAP services.
Authorized hours set the ceiling even when dementia needs feel larger. Families should confirm the current authorization before scheduling extra supervision as paid time. Ask the Medicaid plan what the authorization covers and what changed under Minimum Needs Requirements.
