Provider Index > Personal Care Agency (PCA) > Personal Care Agency and Consumer Directed Personal Assistance Program Fiscal Intermediary
Provider Enrollment & Maintenance
NOTE: Managed Care Only (non-billing) CDPAP-FIs who are not currently enrolled with NYS Medicaid must enroll to continue participating in an MCO Network.
Personal Care Agency Provider: Provides services such as housekeeping, meal preparation, bathing, toileting and grooming to eligible individuals.
Consumer Directed Personal Assistance Program Fiscal Intermediary: An entity that has a contract with a social services district or managed care organization to provide wage and benefit processing for consumer directed personal assistants and to perform the fiscal intermediary responsibilities specified in subdivision (i) of 18 NYCRR § 505.28.
Complete this Enrollment Form if you are:
- Applying for initial ENROLLMENT or ALREADY ENROLLED and enrolling another NPI, or
- Responding to a letter instructing you to REVALIDATE your enrollment, or
- Seeking REINSTATEMENT or REACTIVATION of your previous enrollment, or
- Reporting an OWNERSHIP CHANGE, or
- Reporting a RECEIVERSHIP
INSTITUTION Enrollment Form