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Hochul Faces Pressure to Delay CDPAP Transition Amid Care Concerns

3/20/2025

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Hochul Faces Pressure

New York Governor Kathy Hochul is under mounting pressure to postpone the April 1 shift to a single fiscal intermediary for the Consumer Directed Personal Assistance Program (CDPAP). Advocates and lawmakers fear that a hasty transition could jeopardize care for tens of thousands, yet Hochul stands firm, emphasizing the need for vital reforms in Medicaid home care.

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Hochul Promotes Registration

Over 75% of CDPAP users in New York's Capital Region have switched to Public Partnerships LLC, with nearly 200,000 statewide gearing up for the April 1 deadline. The Department of Health is actively fighting misinformation, promoting registration with outreach efforts, incentives, and multilingual support to guarantee seamless care for all users.

History

Historical Context

New York's Consumer Directed Personal Assistance Program (CDPAP) reflects ongoing challenges in Medicaid reform. Historically, Medicaid has evolved since its inception in 1965, with a shift towards home and community-based services (HCBS) following the 1999 Olmstead decision, which mandated care in the least restrictive environment. This transition aims to enhance care accessibility, yet it faces resistance and concerns over service continuity for vulnerable populations.

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Hochul Faces Pressure

New York Governor Kathy Hochul is under mounting pressure to postpone the April 1 shift to a single fiscal intermediary for the Consumer Directed Personal Assistance Program (CDPAP). Advocates and lawmakers fear that a hasty transition could jeopardize care for tens of thousands, yet Hochul stands firm, emphasizing the need for vital reforms in Medicaid home care.

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