Why Choose Sincere Home Care

New York Medicaid supports several types of home and community-based care. The appropriate option depends on a person’s Medicaid eligibility, medical needs, functional abilities, approved service hours and care preferences.

Common options include agency-provided personal care services, Managed Long-Term Care and the Consumer Directed Personal Assistance Program.

Through agency-directed home care, eligible individuals may receive support from trained Personal Care Aides or Home Health Aides.
Depending on the approved plan of care, assistance may include:

• Bathing, dressing and grooming
• Mobility and transfer assistance
• Meal preparation
• Light housekeeping
• Medication reminders
• Companionship and supervision
• Support with other activities of daily living

With agency-directed care, the home care agency recruits, screens, schedules and supervises the aide. This option may be appropriate for individuals and families who want an agency to manage caregiver staffing and ongoing service coordination.

The Consumer Directed Personal Assistance Program, commonly called CDPAP, is a New York Medicaid program for eligible individuals who want greater control over who provides their care.

Under CDPAP, the consumer—or an eligible designated representative—generally takes responsibility for recruiting, selecting, training, scheduling and supervising personal assistants. Depending on program rules, a personal assistant may be a trusted friend or qualifying family member.

New York now uses Public Partnerships LLC, or PPL, as the statewide fiscal intermediary for CDPAP. PPL handles fiscal-intermediary responsibilities such as consumer and personal-assistant registration, payroll processing, required documentation, timekeeping systems, compliance and customer support.

Sincere Care Agency is not the statewide fiscal intermediary and does not replace PPL’s role. Our team can provide general information about the differences between CDPAP and agency-provided home care and help families understand which care model may better align with their needs. Questions involving CDPAP registration, personal-assistant payroll, PPL accounts or timekeeping should be directed to PPL or an officially approved CDPAP facilitator.

CDPAP gives an eligible consumer significant responsibility and control over personal-assistant services.
The consumer or designated representative generally:

• Recruits and selects personal assistants
• Trains and supervises personal assistants
• Schedules approved care hours
• Reviews and approves time worked
• Works with PPL for registration, payroll and administrative requirements

Agency-Provided Home Care
With agency-provided home care, a licensed home care agency manages much of the caregiver process.
The agency generally:

• Recruits and screens aides
• Coordinates scheduling
• Provides oversight and support
• Helps address staffing changes
• Delivers care according to the approved plan of care

Neither model is automatically right for everyone. The better choice depends on how much responsibility the consumer or family wants to manage, whether they already have a preferred caregiver and what services have been authorized.

Managed Long-Term Care, or MLTC, helps coordinate long-term services for eligible Medicaid recipients who need ongoing care while remaining in their homes and communities.
An MLTC plan may coordinate services such as:

• Personal care assistance
• Home health aide services
• Skilled nursing
• Therapy
• Medical equipment and supplies
• Other covered long-term care services

The MLTC plan, local social services district, or other responsible Medicaid entity determines eligibility, conducts or coordinates required assessments, and authorizes covered services.

Personalized Home Care needs are different for every person. Sincere works to provide services that reflect the individual’s approved needs, daily routine and home environment.

Arranging home care can involve assessments, Medicaid requirements, plan communications and unfamiliar terminology. Our team helps families understand the agency-care process and what to expect as services are arranged.

Sincere Care Agency works with caregivers who are screened and prepared to provide respectful assistance in accordance with the individual’s plan of care.

As a Brooklyn-based agency, Sincere understands the needs of New York families and the importance of accessible, culturally responsive home care.

Our goal is to help individuals remain safe, comfortable and involved in their homes and communities for as long as possible.

The process may vary depending on your Medicaid status and the services you need, but it generally includes:

• Discuss your needs: Share information about the individual’s health, daily challenges and current Medicaid coverage.
• Confirm the appropriate pathway: Determine whether the next step involves Medicaid enrollment, an assessment, an MLTC plan or an existing service authorization.
• Complete required assessments: The appropriate Medicaid, health-plan or assessment entity evaluates medical and functional needs.
• Receive a service decision: The responsible plan or agency determines eligibility and the type and amount of care authorized.
• Arrange services: Once services are authorized, Sincere can coordinate eligible agency-provided care.

Sincere Care Agency does not determine Medicaid eligibility or guarantee approval, service hours or a specific start date. Those decisions are made by the appropriate government agency, assessment program or Medicaid plan.

Understanding the differences between Medicaid eligibility, MLTC, agency-provided home care and CDPAP can make it easier to identify the right next step.
Visit our New York Medicaid FAQ and Medicaid Resource Center for straightforward information about eligibility requirements, income and asset limits, home care services, CDPAP, PPL and the Medicaid application process.

Last reviewed: July 2026
Medicaid and CDPAP requirements may change. Review current information from the New York State Department of Health and PPL.