PPL Saves New Yorkers Another $10 Million+ Annually by Enhancing Consumer Oversight of New York’s CDPAP
New data shows that inconsistent protocols and implementation under prior system cost taxpayers millions
Savings are part of hundreds of millions per year that the CDPAP transition will save New Yorkers overall
LATHAM, NEW YORK – As part of a projected hundreds of millions in annual taxpayer savings, Public Partnerships LLC (PPL), the statewide fiscal intermediary (FI) for New York’s Consumer Directed Personal Assistance Program (CDPAP), today released new data demonstrating additional, significant cost savings for New York taxpayers. As a result of PPL’s improved oversight of the program and the implementation of enhanced systemwide protocols, consumers are more accurately approving timesheets, amounting to an annual cost-savings of more than $10 million.
The savings come on the heels of a recent announcement touting up to $10 million in annualized savings from identifying fraud risks in overtime hours. This announcement is the latest in PPL’s many improvements to enforce program rules and to cut out unnecessary spending. PPL and the New York State Department of Health are continuing to identify trends in wasteful practices and abuse of CDPAP, ensuring taxpayer resources are conserved and go toward those who rely on this critical program.
In consumer-directed care models, consumers play an active role in managing their own care by hiring, scheduling, and supervising their caregivers. In CDPAP, the consumer (or their designated representative) is required to review their personal assistant’s (PA’s) timesheets to verify the accuracy of the time submitted. While this has always been a rule under CDPAP, the practice was inconsistently implemented by the hundreds of FIs that previously oversaw the program, as consumers and workers report some did not. PPL’s analysis shows that by fully enforcing consumer approvals, cost savings can be achieved by preventing payment for shifts that did not occur or were submitted inaccurately. In addition, this practice empowers the consumer with greater oversight of their services, strengthening their role at the center of decision-making.
To calculate these savings, PPL compared timesheets denied by consumers against the corresponding approved shifts to measure the discrepancy. The analysis covered July 1 to August 15, 2025, and the results were annualized to project the savings.
“New York’s CDPAP is a lifeline for hundreds of thousands of New Yorkers, and this accountability measure is essential to the program’s integrity and sustainability,” said Patty Byrnes, Vice President of Government Relations for PPL. “Working closely with the Department of Health under a centralized model, PPL is proud to strengthen oversight and accountability, improve efficiency, and deliver meaningful savings for taxpayers, all while allowing the consumer to control their care. We are committed to protecting and strengthening this critical program for years to come.”
In addition to consumers approving timesheets, under longstanding CDPAP rules, PAs are not permitted to submit overlapping work hours for multiple consumers. However, under the previous program structure, some PAs bypassed this requirement undetected by working for consumers who had different health plans and FIs.
PPL has addressed this issue by implementing a centralized system that includes unique PA identifiers, electronic visit verification (EVV), streamlined timekeeping processes, and geolocation services. In addition to saving New York taxpayers millions of dollars, EVV compliance is necessary under federal law and if not followed appropriately could have an impact on federal matching funds for the Medicaid program.
On top of tightening oversight, PPL has significantly reduced administrative costs in CDPAP. While some FIs previously charged up to $1,050 per member month, PPL now charges $68.50 per member per month, delivering substantial savings for New Yorkers.
These enhanced protocols and consistent enforcement of longstanding rules not only save taxpayers money in the short-term but help to ensure the program remains viable in the long-term. As the sole FI for this crucial program, PPL is applying expertise and technology to close loopholes that existed under the previous fragmented system and improve program integrity. This is part of a multi-pronged effort to bring value and best practices to CDPAP — ensuring hundreds of thousands of New Yorkers can continue to access the care they rely on.
###
About PPL
PPL supports consumers and caregivers across 50 self-direction programs in 20 states. The company has served its communities for 25 years and is wholly focused on consumer direction programs that help people have more control over their care and enable them to remain in their homes and communities. PPL has more than 2,000 team members that are dedicated to serving Medicaid and social services programs. The company’s headquarters are in Latham, New York with offices throughout the United States. To learn more about PPL, please visit pplfirst.com.
