How CDPAP in Manhattan Works Now
The Consumer Directed Personal Assistance Program (CDPAP) is a New York State Medicaid program that lets eligible consumers direct their own home care. For years, CDPAP in Manhattan and across the state was administered by hundreds of fiscal intermediaries. That ended in 2025, when New York moved all CDPAP administration to a single statewide fiscal intermediary, Public Partnerships LLC (PPL).
What that means if you’re looking at CDPAP in Manhattan today: every CDPAP consumer and personal assistant registers with PPL to receive services and get paid. FreedomCare is not a CDPAP fiscal intermediary, and no agency can act in that role anymore. CDPAP eligibility rules themselves didn’t change, but the administration behind the program did, and many Manhattan families have run into delays and frustration since the switch.
That’s why a growing number of families are looking at home care through a Licensed Home Care Services Agency instead.
How FreedomCare Helps Manhattan Families
FreedomCare is a Licensed Home Care Services Agency, and that’s the heart of what we do. Through our LHCSA, we provide home care in Manhattan delivered by caregivers who are New York State–certified Home Health Aides (HHAs) or Personal Care Aides (PCAs). We can train and certify a caregiver ourselves, or work with someone who’s already certified through another program. Either way, they’ve completed all required training, background checks, and health screenings. Only individuals who meet New York State’s regulatory and competency standards provide care through our agency.
What that means for you is simpler days. We handle the certification, the payroll, and the compliance paperwork. You’re not chasing forms, sitting on hold, or wondering whether something got filed correctly. The person you’re caring for gets a trained, vetted caregiver, and you get a real agency standing behind that care. For many Manhattan families weighing CDPAP against other options, that stability is the deciding factor.
Who Can Be a Caregiver in Manhattan
There’s an important rule to know about who can serve as a caregiver through our LHCSA. A caregiver cannot be the spouse, parent, son, son-in-law, daughter, or daughter-in-law of the patient. This differs from how CDPAP handled caregiver eligibility, so if you were hoping a close family member could be the paid aide, raise it with our staff early and we’ll walk through what your options actually look like.
Outside those relationships, our caregivers are certified professionals matched to the needs of the person you’re caring for. They help with daily activities like bathing, dressing, meals, mobility, and managing medications.
Who Qualifies for Home Care in Manhattan
To receive home care services through FreedomCare, you’ll generally need to have Medicaid, live in New York, and need help with daily activities at home. These are similar to the basic CDPAP eligibility requirements: Medicaid coverage, New York residency, and a need for help with daily care. The exact details depend on your Medicaid coverage and your care assessment, and our staff can help you understand where you stand.
Getting Home Care in Manhattan is Easier Than You Think
If you live in Manhattan and want home care you don’t have to manage alone, reach out. Our staff can answer your questions about CDPAP and your other options, explain how FreedomCare’s LHCSA works, and help you take the first step.
FreedomCare Manhattan Office
747 Third Ave, 29th Floor
New York, NY 10017
(646) 461-4844
We serve families throughout New York State. Wherever you are, we’d be glad to help.