The perils of New York’s rush to a single fiscal intermediary

As New York State forges ahead with its plan to consolidate 600 Fiscal Intermediaries (FIs) into a single entity, the implications for our consumers and their caregivers cannot be overstated. Even the narrative surrounding fraud, waste, and abuse produced little to any evidence that the Consumer Directed Personal Assistance Program (CDPAP) is an outlier among all Medicaid-funded services. This entire move is callous and irresponsible. Even more troubling is the proposed timeline, raising serious concerns about potential disruption, confusion, and harm to consumers in the program.