Public Partnerships LLC (PPL) handles payroll as New York CDPAP's statewide fiscal intermediary, paying dementia home attendants with Medicaid funds after taxes and approved hours. CDPAP means Consumer Directed Personal Assistance Program, where the Medicaid consumer directs care and PPL processes timesheets and issues weekly pay.
For dementia care, a family member or other adult often serves as designated representative when the person cannot self-direct. The NY State Dept. of Health says PPL became the sole statewide fiscal intermediary on April 1, 2025 in MLTC Policy 25.03.
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
- Who chooses the attendant?
- What does PPL actually do?
- How are hours logged and approved?
- What pay should families expect?
Who chooses the attendant?
The Medicaid consumer chooses, hires, trains, schedules and can replace their own personal assistant. The assistant can be a friend or adult family member, except a spouse, designated representative, or parent of a consumer under 21.
A person with dementia who cannot self-direct must have a designated representative. That representative manages hiring, scheduling and approvals, and cannot also serve as the paid assistant. For dementia or Alzheimer's diagnosis, New York requires assessed need for at least supervision with more than one activity of daily living.
What does PPL actually do?
PPL describes weekly Thursday payment by direct deposit or paper check in its CDPAP Resources for Personal Assistants. It uses Medicaid funds, withholds taxes, keeps employment records, and issues pay after hours are verified.
PPL does not recruit, train, schedule or supervise aides. Daily direction stays with the consumer or designated representative. That split matters for dementia households because supervision needs can change quickly, but only approved hours move to payroll.
How are hours logged and approved?
Assistants log shifts with Electronic Visit Verification, mainly PPL's Time4Care app clock-in and clock-out, telephone entry, or PPL@Home. The consumer or designated representative must review and approve those hours for compliance. Entries and approvals follow a weekend cutoff.
PPL states that unpaid timesheets will not be paid until approved through its systems. A missed Sunday approval delays payment until approval clears. Families watching for sundowning, wandering, or overnight needs should still approve only hours actually worked.
- Assistant clocks in and out for each shift in Time4Care, by phone, or in PPL@Home
- Assistant submits time entries by 11:59 p.m. ET Saturday
- Consumer or representative approves hours by 12 p.m. ET Sunday
- PPL pays approved hours the following Thursday
What pay should families expect?
Pay details for 2026 come from NY Health Access/NYLAG in its wage update. In New York City in 2026, assistants earn $20.65 per hour base, with overtime at 1.5 times for authorized hours over 40 per week.
Assistants also earn 1 hour of paid time off per 30 hours worked, up to 56 hours per year. Overtime must be authorized, so families should confirm weekly hour limits with the care plan before adding extra dementia supervision shifts.
