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Consumer-Directed Home Care

The Consumer-Directed Personal Assistance Program (CDPAP) was developed for people who use or need personal and/or home care assistance. As with all other RCIL programs, it is based on the conviction that people know their own needs best and should drive the process that meets those needs.

CDPAP promotes independence. Assistants are not hired by an agency. Instead, individuals themselves take control of the process by identifying their own needs and actively recruiting, hiring, training, and -- when necessary -- dismissing the personal care attendants they want.

Who is eligible to participate?

  • Individuals who are Medicaid eligible
  • Individuals who are either currently receiving or are eligible to receive home care services
  • Individuals must be 65 years or older to receive services from Senior Network Health

In addition, individuals should be self-directed, which means they are able to do the following:

  • Make choices about the way they want to live their life
  • Organize their environment to make these choices a reality
  • Understand the consequences of the choices and to accept responsibility for them
  • Assume responsibility for managing their personal care needs

Persons who are not able to self-direct may choose to have a family member or a friend assume the responsibility for directing their home care services.

What does RCIL do?

RCIL works closely with the self-directing individual and helps make this program successful in several ways:

  • Provide training to develop a job description and weekly job assignments
  • Give suggestions on how to recruit, interview, hire, train, and dismiss an attendant
  • Provide advice on how to maintain a good supervisor/worker relationship
  • Provide technical assistance as needed, including tips for problem solving
  • Process payroll for personal assistants

How does it work?

Individuals who choose to participate in the program must be approved by the County Department of Health. The Department of Social Services and/or Senior Network Health provide a complete home assessment and authorize a specific number of hours needed.

RCIL then provides training designed to aid the participant in assuming the responsibilities of recruiting, training, maintaining, and supervising the home care worker, as well as locating and providing backup services as needed. RCIL also offers many options for individuals and family members eligible for services through the Office of Mental Retardation and Developmental Disabilities.

CDPAP is available in every county in New York State. RCIL currently offers CDPAP in the following counties: Chenango, Delaware, Fulton, Herkimer, Lewis, Madison, Montgomery, Oneida, Otsego, and Schoharie; plus we serve participants in Senior Network Health.

Contact RCIL for more information.