CDPAP SFI Transition - 4/1/25 Deadline Arriving – Current Status
The Situation Report | March 31, 2025
The April 1 deadline for the CDPAP Statewide Fiscal Intermediary (SFI) Transition is now upon us.
Below are highlights on the ever-evolving state of affairs with the SFI Transition, including Department of Health (DOH) & PPL implementation actions, legislative activity, and litigation.
DOH/PPL Implementation:
- According to DOH & PPL, as of 3/31/25, about 195,000 CDPAP consumers have started or completed the registration process; about 220,000 personal assistants (PAs) have started or completed the registration process; about 60,000 individuals transitioned to personal care services.
- On 3/24/25, DOH issued a memo establishing a grace period for registration of consumers and PAs. The purpose of this DOH memo is to provide guidance on the payment of PA’s by PPL for hours worked in April, when the consumer or PAs registration process was not complete. According to the memo, consumers and PAs will have until 4/30/25 to complete the required registration. If the registration is not completed by 4/30/25, then they will not be eligible for retroactive payment.
- DOH indicates that it is encouraging Plans to continue outreach to consumers to inform and assist with PPL registration.
- PPL indicates that it will continue to hold registration events. More information can be found here.
- PPL indicates that the best or “off-peak” hours to contact the PPL call center are 8am – 10am and again after 6pm.
- PPL indicates that instructional videos on its EVV platform (Time4Care) are available on its website.
- In response to concerns about healthcare benefits for caregivers, DOH issued an FAQs document on PPL benefit.
NYS Legislative Activity:
- The CDPAP SFI Transition was a prominent topic of discussion throughout the NYS budget negotiation process, but neither the State Senate nor the State Assembly included any provisions relating to CDPAP in their respective budget proposals – thereby making a possible delay in the SFI implementation or other potential improvements in the process less likely in budget negotiations.
- The deadline to pass and have a new state budget in place is, tomorrow 4/1/25 and thus the budget timetable will now move at least into April. It continues to be unclear whether any revisions or potential improvements to the SFI process will enter any of the ongoing budget discussions between the Governor and state legislature.
- Some state legislators still continue to keep the possibility open of working with Governor Hochul on a delay in the SFI implementation [subscription required]. Whether this aspirational goal of certain legislators comes to fruition or not will likely be known in the coming days.
- Outside of the NYS budget process, legislation has been introduced in both the State Senate and State Assembly that would repeal the SFI. The bi-partisan bill has 39 sponsors in the Senate and 38 sponsors in the Assembly; however, the bill has not been placed on a legislative committee agenda for consideration. State legislators and political experts alike suggest that the bill is not likely to advance in the state legislature this legislative session.
Litigation:
- Multiple court cases addressing the SFI Transition are still active at both the state and federal level. In general, the courts have not been willing to grant temporary restraining orders or preliminary injunctions to delay the SFI transition. However, in some cases, the denials of the preliminary injunctions have been appealed. Highlights from a few court cases are in the following bullet points.
- In New York County, on 3/26/25, the State Supreme Court denied a motion for preliminary injunction filed by Freedom Care (an existing FI) to stop the implementation of the PPL SFI contract award. It is not known at this time if Freedom Care will appeal the court’s decision.
- In Livingston County, on 2/21/25, the State Supreme Court denied a motion for preliminary injunction filed by Glidedowan d/b/a All-American Home Care (an existing FI) to stop or delay the SFI transition. However, on 2/24/25, Glidedowan appealed the decision. The court has not yet issued a decision.
- In Albany County, on 2/7/25, the State Supreme Court denied a motion for preliminary injunction filed by Save Our Consumer Directed Home Care Program (an association of FIs) to stop the implementation of the PPL SFI contract. However, on 2/21/25, Save Our Consumer Directed Home Care Program appealed the denial. The court has not yet issued a decision.
Please stay tuned to HCANYS for on-going news and developments on the CDPAP SFI Transition as we close in on the 4/1 implementation deadline and head into the 30-day grace period for registrations with PPL.