Enacted budget makes major changes to Consumer Directed Personal Assistance Program

The Fiscal Year 2025 enacted budget will significantly change the Consumer Directed Personal Assistance Program (CDPAP). The enacted budget will replace the current fiscal intermediaries with a single, statewide fiscal intermediary as of April 1, 2025, placing the $8 billion of Medicaid spending for CDPAP services under the oversight of a single entity. Under the enacted law, all current fiscal intermediaries will need to cease operations by April 1, 2025 in favor of the single statewide fiscal intermediary. The law does not address the authority of the existing fiscal intermediaries to continue to provide services if the single statewide fiscal intermediary is not in place or is unable to transition CDPAP consumers by that date.