Yes, CDPAP under PPL still lets Bronx families hire relatives as caregivers. An adult child, sibling, grandchild, niece, nephew, cousin, or parent of an adult consumer can work as a paid personal assistant. CDPAP means Consumer Directed Personal Assistance Program, a New York Medicaid program that lets the care recipient choose who provides hands-on help. Public Partnerships LLC states in its current frequently asked questions that New York moved to one statewide fiscal intermediary on April 1, 2025, without changing program rules or who may serve.
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
- Which relatives can Bronx families hire?
- Who cannot be paid as a caregiver?
- What must families complete before paid hours start?
- What pay and program stability apply in the Bronx?
Which relatives can Bronx families hire?
For dementia care, the choice often falls to a trusted adult relative who already knows the person's routine. Public Partnerships LLC confirms in its current frequently asked questions that Bronx Medicaid consumers may hire adult relatives, including adult children, siblings, grandchildren, nieces, nephews, cousins, and parents of adult consumers.
That continuity matters when memory loss makes new faces distressing. A daughter can help with bathing, meals, dressing, and supervision. A grandson can cover evening hours so the primary caregiver can sleep.
Who cannot be paid as a caregiver?
The program draws clear lines around payment. A spouse cannot be paid as the consumer's assistant.
A parent of a consumer under age 21 also cannot be paid. The same exclusion applies to a designated representative who directs care for the consumer. Families facing dementia should choose another adult relative or friend when one person already holds that decision role.
What must families complete before paid hours start?
Eligibility comes first. The care recipient needs active New York Medicaid, a documented need for home-care or nursing services, an assessment through the New York Independent Assessor, and approval from a health plan or local social-services district.
Then both sides must register with PPL and link their accounts before paid work begins. Useful steps include:.
- Submit identity, Medicaid, and employment documents for consumer and assistant
- Complete required health assessments, electronic visit verification setup, and CDPAP training
- Wait for account linkage, then schedule and clock paid hours through PPL
What pay and program stability apply in the Bronx?
The New York State Department of Health announced on October 23, 2025 that the Appellate Division, First Department upheld PPL's statewide contract. That decision confirms PPL remains the lawful fiscal intermediary for CDPAP payroll.
For Bronx consumers, Public Partnerships LLC lists in its current frequently asked questions a minimum base wage of $20.65 per hour effective January 1, 2026. The rate covers Bronx, Kings, New York, Queens, and Richmond counties. Register the consumer and relative with PPL and confirm linked status before the first paid shift.





