If a plan (MLTC) asks for documentation, it must be responded to. Following the rules and asking for clarification are best practices for all stakeholders. If DOH rules are not followed, a personal assistant may have trouble getting paid at the end of the week.Ĭaring Professionals coordinators and payroll staff are always available to answer questions. Trying to figure it out on one’s own may have implications, especially when it comes to payroll. If any one of the stakeholders has a question about procedures or tasks, they should ask. Reading the paperwork and asking questions is important. It’s a serious charge for both the consumer (or Designated Representative) and the personal assistant.Ĭommunication will ensure that your senior will have good care and that everyone will have a good experience. It’s not casual caregiving nor is it just keeping the senior company. There is a clear chain of responsibility in CDPAP. If she doesn’t make arrangements, the personal assistant will not be paid because only the Designated Representative may approve timekeeping. If she goes on vacation, someone else must be enrolled to take on the role of Designated Representative. She has to be a local resident and be available to approve time sheets. They don’t want to be bothered with all the responsibilities involved in being an employer.Ī daughter may become the Designated Representative of the senior she takes on the role of employer and must meet with the personal assistant at least once a week. They may prefer that a daughter or someone else take responsibility even if they are cognitively aware. Not all seniors are up to this challenge. Then it is up to her to follow and implement them. There is a checklist of items that are explained. These rules and procedures are spelled out in writing and reviewed with the consumer before service begins. Caring Professionals may not change them. The rules are set by the New York State Department of Health and Medicaid. Payroll for the PA is affected by the neglect of the consumer to report problems and deal with administrative changes.Ĭaring Professionals does not make determinations. Therefore, if a PA does not clock in properly at the beginning of the week or needs a schedule change, it is up to the consumer to inform Caring Professionals. Staff may train the consumer on program details and administrative responsibilities but it is the consumer who takes charge of the personal assistant and trains him. Caring Professionals staff may not train the personal assistants. The role of Caring Professionals is chiefly to administer payroll once the consumer and her personal assistants are enrolled in the program. If it is not followed, the consumer may have to terminate the employment of the personal assistant, even if he is a family member. It is up to the consumer, the employer, to ensure that it is followed. The plan of care is an individualized plan for each particular consumer and is developed by the nurse from the MLTC plan during a visit (which may be remote at present). He must comply with the tasks and routines outlined by the MLTC nurse in the plan of care. He is no longer a couch potato who watches television while in the home. This means that the nephew, who is now the personal assistant, take his role seriously. The consumer shifts from being the doting aunt to an employer who requires timeliness and the discharge of the plan of care. Directing someone familiar who is there to collect a pay check requires a reorientation of roles. Changing one’s relationship to someone close is sometimes awkward. She cannot remain passive in her role as a senior who needs care. Timekeeping, arranging coverage when someone takes vacation, responding to requests for documentation and notifying the plan of changes are her responsibility. She needs to tend to some administrative responsibilities. The obligation to train the caregiver (called personal assistant) in his duties is hers. She can set the schedule and plan her activities the way that works for her.Īt the same time, she is transformed into an employer. ![]() ![]() She can have family or neighbors enter her home and tend to her needs. The CDPAP program provides a consumer a particularly safe way to receive care. The Realities of CDPAP What is CDPAP really like?Įnrollment in this popular program, CDPAP, is both an opportunity and a challenge for a family.
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