Consumer Directed Personal Assistance

The Consumer Directed Personal Assistance program (CDPA) helps individuals take control of their personal care and home care needs. With the support of AccessCNY staff, CDPA participants screen, hire, train and supervise personal assistants to help with important activities of daily living.

A major benefit to Consumer Directed Personal Assistance is that it allows people to truly personalize their care to fit their lifestyle. Participants can customize when their personal assistants come, as well as what tasks they perform. During the more than 25 years Agnes McCray has been enrolled in CDPA, her personal assistants have assisted her in reaching a variety of goals- from being a loving mother to two young sons, to being an unstoppable community activist. You can read more about Agnes’ story here

Below we have included the answers to some frequently asked questions about the Consumer Directed Personal Assistance program. Please take a look and then reach out with any questions. Our knowledgeable staff are here to help get you enrolled!

Frequently Asked Questions (FAQs) for Participants

To receive Consumer Directed Personal Assistance services, you must: 

  • Be Medicaid eligible
  • Be eligible for home care services, personal care services, or private duty nursing
  • Require long-term assistance with activities of daily living (includes home care and personal care)
  • Be self-directing or have a designated representative who is willing and competent to assume the roles and responsibilities of the program

Personal assistants can help with a variety of personal care, hygiene, and household tasks such as:

  • Meal prep/feeding
  • Bathing
  • Toileting
  • Dressing
  • Cooking
  • Cleaning
  • Shopping
  • Transportation

Consumer directed care provides many benefits over the traditional home care model. By giving individuals direct control over who is coming into their home, the program helps avoid problems such as language barriers and high turnover rates.

It’s no wonder that research shows that CDPA participants report feeling more satisfied with their quality of care, as well as their quality of life overall!

No! As long as you meet the conditions listed above, you can receive Consumer Directed Personal Assistance services at no cost to yourself.

AccessCNY serves as the Fiscal Intermediary for participants in the Consumer Directed Personal Assistance program. This means that our staff handle all of the human resource aspects of a personal assistant’s employment such as payment, background checks, etc. 

Additionally, our staff provides training and support to both the personal assistants and the participants.

Frequently Asked Questions (FAQs) for Personal Assistants

Almost anyone! Personal assistants can be an adult child, grandchild, friend, or neighbor – anyone except:

  • The participant’s legal spouse
  • The participant’s designated representative
  • The parent of a participant under 21 years old

No! AccessCNY provides a thorough orientation and training which will provide all the information you need.

Yes, as long as all paperwork proving legal status is up to date. 


G. Joseph Gross
Associate Executive Director, Clinical Services and Consumer-Directed Personal Services
Phone: 315-410-3332