If you or someone you care about is receiving home care services in New York, you have probably come across the term PPL. It can be confusing at first, but grasping it correctly could change how you coordinate care at home.
To explain, PPL does not directly engage with customers. Whatever your role is in home care, be it patient, caregiver, or onlooker, this guide will simplify everything for you.
What is PPL?
PPL is the abbreviation for Public Partnerships LLC. This is a company that assists in managing services for individuals who need care for a long time. They especially greatly help in a program called CDPAP.
In the state of New York, PPL serves as a Fiscal Intermediary (FI). That reifies that it takes care of the more intricate side of things, like:
- Disbursing payments to caregivers (who are usually relatives and friends)
- Managing timesheet submission
- Management of tax and employment files
PPL does not directly offer care. They, however, provide assistance to those who do.
What is CDPAP?
CDPAP means Consumer Directed Personal Assistance Program. It’s a Program under Medicaid that provides an option for people to select their caregivers from family members. People often feel more comfortable around friends, relatives, or even neighbors.
This is more convenient for severely disabled patients who have little control over their care. Here are the major reasons why CDPAP is famous in New York:
- Ability for the patient to select their caregivers
- No prior training is needed for the caregivers
- More satisfaction for the patients at home
Who Can Take Part In CDPAP?
A patient is eligible for CDPAP if they:
- Can apply for Medicaid
- Requires assistance with activities of daily living (such as eating, grooming, and mobility)
- Possess the ability to control their own care, either directly or through a proxy
The caregivers need to meet the following criteria:
- Be 18 years of age or older
- Authorized to work in the United States
- Not a husband or wife of the patient, or the representative that is named by the patient
What is the Role of PPL in CDPAP?
Public Partnerships LLC (PPL) performs the role of Fiscal Intermediary (FI) for the CDPAP system in New York. This means that PPL does not directly provide caregivers; rather, it manages all the administrative work.
Upon enrolling in the CDPAP program, PPL takes over the administrative responsibilities, such as:
- Accounting for the caregiver’s timely paycheck processing
- Maintaining work hour records through an Electronic Visit Verification (EVV)
- Gathering required tax and employment documents from the caregivers
- Assisting with the onboarding process, which includes the necessary background checks as well as other compliant documents
- Assisting families who are enrolled in the program
Some families were worried about losing their long-time FI providers, but many others appreciated the centralized system with 24/7 assistance and device tools. PPL now plays an important role in ensuring that thousands of caregivers are paid and that patients are well supported at home, safe and looked after.
In case you are enrolled in CDPAP, it is likely that PPL is the manage of your caregiver’s employment while you remain the one truly directing care.
What Changed and Why It Matters?
The transition to PPL was intended to simplify the program and minimize fraud. However, some patients and home care agencies argued that it was too abrupt.
Here is an overview:
- PPL is one of the remaining fiscal intermediaries; the number previously exceeded 700
- Numerous families were forced to change providers at short notice
- Some feared that larger companies would eliminate the personal approach
Regardless, the New York State Department of Health insisted that the changes were necessary to make the program viable and equitable.
What is DHCare’s Role in CDPAP?
DHCare is a home care provider in New York that helps families with the Consumer Directed Personal Assistance Program (CDPAP). Our goal is to make life easier for both caregivers and care receivers by offering specialized assistance.
- One-on-One Enrollment Support: With the goal of understanding your particular requirements, DHCare provides a no-cost consultation. Their skilled personnel walk you through each step of the enrolling process, ensuring that every piece of paperwork is impeccably completed.
- Comprehensive Understanding of All CDPAP Policies: Because of their extensive knowledge on the policies and the prerequisites of CDPAP, DHCare makes sure that each application is carefully scrutinized in the best possible way so that issues and delays are properly avoided.
- Continuous Services to Caregivers and Care Recipients: Following enrollment, DHCare continues to provide aid to primary caregivers and care recipients by resolving any queries or worries while undertaking caregiving roles.
- Reliable Care Agency in America: DHCare is one of the awarded providers within the CDPAP program, and is well known throughout for its reliability and quality of service in caring for clients.
How to Enroll in CDPAP Through PPL?
It might seem that enrolling in CDPAP with PPL’s support is complicated, however, the process is quite simple, especially when receiving assistance from a CDPAP agency like DHCare. If you’re a patient or someone aspiring to be a caregiver, here’s the entire process in detail.
1. Confirm You Qualify for Medicaid
The patient, also referred to as the consumer, has to actively possess New York State Medicaid. In case they don’t have Medicaid, they will have to apply for it. Some CDPAP agencies, such as DHCare, do aid people in applying for Medicaid.
2. Carry out a Nurse Assessment
A nurse from New York Independent Assessor (NYIA) is going to the patient’s home to assess the patient’s self-care capabilities and their health care needs. This particular step determines how many hours of care they will be given.
3. Selecting a Caregiver
Nearly any person that the consumer trusts is eligible for selection, including adult children, grandchildren, friends, and siblings. However, spouses and legal guardians cannot act as paid caregivers under CDPAP.
4. Reach Out to PPL or a Partner Agency
Contacting PPL directly is an option, but going through an healthcare agency such as DHCare is usually more convenient. They will ensure that you follow the proper steps and complete the needed documents.
5. Complete All Necessary Forms
A selected agency and PPL will give several forms, which will include:
- Enrollment forms for the consumer and the caregiver
- Tax forms such as W-4 and I-9
- Creation of a timesheet or registration into the EVV system
- Agreement on the care plan and responsibilities
6. Finish Caregiver Onboarding
Depending on the agency, a caregiver may have to complete an onboarding process that includes verification of identification and a background check. Partners such as DHCare assist caregivers in this process so they can complete all necessary steps efficiently.
7. Start Offering and Recording Care Services
After all documents have been submitted and approved, the caregiver will be able to begin work. It will be necessary for them to record their work hours using the PPL electronic verification system (EVV), which is normally done via a mobile application or an online portal.
Final Thoughts
PPL is a crucial resource in regard to CDPAP and self-management of one’s health care system by citizens of New York. The shift from having many fiscal intermediaries to only a few has caused some issues, but has been overall beneficial.
If you look after a family member in need of assistance or are seeking assistance yourself, remember that PPL CDAP is there to provide support alongside cost-efficient services.
FAQs
What diagnosis qualifies for CDPAP in NY?
Any condition that requires help with daily activities, like Alzheimer’s, stroke, disability, or chronic illness, can qualify, as long as the person is on Medicaid.
Can my loved one with Alzheimer’s receive home care?
Yes! If they have Medicaid and need help with daily tasks, they can get care through CDPAP, even from a family member.
How does DHCare match caregivers to specific diagnoses?
In CDPAP, the patient chooses their caregiver. DHCare helps with the paperwork and support, but doesn’t assign caregivers; they help your chosen person get approved.
