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PPL

Probabilistic programming languages (PPLs) are specialized programming paradigms and systems designed to express probabilistic models declaratively, automating the process of inference over uncertain data and parameters through techniques such as Markov chain Monte Carlo sampling or variational methods.^[1] Unlike traditional deterministic programming, PPLs embed probability distributions and random variables directly into code, allowing users to specify generative models that capture causal structures and empirical uncertainties without manually deriving inference algorithms.^[2] This approach stems from efforts to make Bayesian statistical modeling scalable and accessible, particularly for complex, high-dimensional problems in fields like machine learning and scientific computing.^[3] PPLs gained prominence in the 2010s with implementations like Stan, which emphasizes Hamiltonian Monte Carlo for efficient posterior sampling, and Pyro, integrated with PyTorch for deep probabilistic models combining neural networks and probabilistic reasoning.^[4] These languages enable rapid prototyping of models for tasks such as causal inference, anomaly detection, and hypothesis testing, where empirical data drives validation rather than theoretical assumptions alone. Key achievements include democratizing advanced statistical tools beyond domain experts, as evidenced by benchmarks showing PPLs outperforming ad-hoc implementations in inference accuracy and speed on standardized datasets.^[4] Despite their strengths, PPLs face challenges in scalability for massive datasets and in guaranteeing convergence of approximate inference, leading to ongoing research into hybrid exact-symbolic and numerical methods. Controversies arise over their universality—whether a single PPL can handle all model classes without compromising performance or expressiveness—and critiques of over-reliance on black-box inference that may obscure causal mechanisms in real-world applications.^[5] High-quality implementations prioritize modularity and composability, drawing from first-principles of probability theory to ensure models reflect observable data distributions faithfully.^[6]

Company Overview

Founding and Corporate Structure

Public Partnerships, LLC (PPL) was founded in 1999 to provide financial management services enabling self-directed care programs for individuals with disabilities and aging adults, initially focusing on streamlining payroll, benefits, and compliance for government-funded home and community-based services.^[7] The company emerged amid growing demand for participant-directed models under Medicaid waivers, positioning itself as a fiscal intermediary to handle administrative burdens that states sought to outsource for efficiency.^[8] PPL is incorporated as a Delaware limited liability company and maintains its headquarters in Alpharetta, Georgia.^[9] As a privately held entity, its corporate structure emphasizes operational scalability through technology platforms for program management across multiple states.^[8] In 2022, private equity firms DW Healthcare Partners and Linden Capital Partners acquired a majority ownership stake of approximately 73%, providing capital for expansion while retaining PPL's core focus on self-directed services.^[10]^[11] This investment structure has supported growth to over 50 programs in 20 states but has drawn scrutiny in contexts like New York's CDPAP transition for potential impacts on service quality under private equity influence.^[12]

Mission and Services

Public Partnerships, LLC (PPL) functions as a financial management services (FMS) provider specializing in self-directed care programs, with a core mission to enable Medicaid-eligible individuals, including those with disabilities, chronic illnesses, or aging needs, to hire and manage their preferred caregivers while living independently at home.^[13] By handling administrative burdens such as payroll, taxes, and compliance, PPL seeks to simplify self-direction processes, making them accessible and efficient for participants, families, and government programs.^[14] This approach aligns with federal Medicaid allowances for consumer-directed services, emphasizing participant choice over traditional agency-provided care.^[15] PPL's primary services center on fiscal intermediation, including processing timesheets, disbursing payments to caregivers (including family members or friends where permitted), withholding federal and state taxes, and managing unemployment insurance contributions.^[16] The company also administers workers' compensation insurance policies, conducts background checks on service providers, and facilitates third-party payments for goods or services authorized under program budgets.^[17] Complementary offerings include information and assistance hotlines for enrollment and troubleshooting, housing assistance administration for related supports, and technology platforms such as mobile apps and online portals for real-time account monitoring, timesheet approvals, and electronic fund transfers.^[16] These services support over 48 programs across 20 states, processing billions in annual payments while ensuring adherence to state-specific Medicaid waivers and regulations.^[18]^[19]

Key Markets and Contracts

Public Partnerships LLC (PPL) primarily serves markets in Medicaid-funded self-directed personal assistance programs across 20 U.S. states, enabling participants such as seniors, individuals with disabilities, and those with chronic conditions to select and manage their own caregivers, often family members or friends, while handling administrative tasks like payroll processing and tax withholding.^[18]^[19] These programs target needs including aging services, intellectual and developmental disabilities (IDD), physical disabilities, brain injuries, and behavioral health, supporting over 500,000 participant-caregiver relationships and processing more than $10 billion in annual payments.^[9]^[20] A flagship contract is PPL's role as the statewide fiscal intermediary for New York's Consumer Directed Personal Assistance Program (CDPAP), awarded in September 2024 following a competitive bidding process mandated by the state budget, with operations transitioning fully by April 2025 to consolidate services previously managed by multiple intermediaries.^[21]^[15] This contract covers approximately 280,000 Medicaid enrollees in a program valued at $9–11 billion annually, centralizing payroll, benefits, and compliance for consumer-chosen aides.^[22]^[9]^[23] In Colorado, PPL secured a contract in February 2024 to administer the Consumer Directed Attendant Support Services (CDASS) program, managing services for nearly 3,000 members and 10,250 attendants through payroll and financial oversight.^[24] Additional operations include fiscal intermediation in New Jersey's Division of Developmental Disabilities and aging services programs, where PPL handles billing and enrollment for self-directed supports, though subject to periodic state transitions for efficiency.^[17]^[25] Across states, contracts emphasize compliance with federal Medicaid waivers, with PPL partnering with managed care organizations in 19 instances to scale participant choice and reduce institutional care costs.^[26]

Operational Model

Role as Fiscal Intermediary

Public Partnerships, LLC (PPL) operates as a fiscal intermediary in Medicaid consumer-directed personal assistance programs, such as New York's Consumer Directed Personal Assistance Program (CDPAP), by managing financial transactions, payroll processing, and administrative compliance on behalf of program participants who act as employers of record for their personal assistants.^[15] In this capacity, PPL enrolls consumers and their designated representatives, verifies eligibility and service authorizations, and disburses payments to caregivers after deducting applicable taxes, unemployment insurance, and workers' compensation premiums.^[27] This role relieves participants of routine fiscal burdens, allowing focus on care coordination while ensuring adherence to federal Medicaid regulations and state-specific program rules.^[28] As the designated statewide fiscal intermediary for CDPAP effective April 1, 2025, PPL processes payments for over 300,000 consumers and caregivers statewide, handling an estimated annual volume exceeding $10 billion in Medicaid funds.^[29] Core functions include withholding federal and state income taxes, Social Security and Medicare contributions, and facilitating electronic funds transfers to personal assistants, typically on a bi-weekly schedule aligned with submitted timesheets.^[30] PPL also administers non-payroll expenditures, such as reimbursements for supplies or training, acting as a fiscal conduit between Medicaid managed care plans and service providers.^[17] Compliance oversight involves auditing timesheets for accuracy, monitoring for duplicate payments, and integrating with state systems to reconcile claims data, which supports program integrity and reduces administrative overhead for Medicaid agencies.^[31] PPL's intermediary model emphasizes electronic platforms for self-service enrollment, timesheet submission, and payment tracking, minimizing paper-based processes and enabling real-time fraud detection through algorithmic reviews of anomalies like excessive hours or mismatched caregiver credentials.^[18] In addition to payroll, PPL manages benefits enrollment, such as health insurance deductions where applicable, and reports fiscal data to state authorities for budgeting and auditing purposes.^[32] This structure has been credited with standardizing operations across multiple states, including transitions in New Jersey and Colorado, where PPL similarly handles consumer-directed services for developmental disabilities and long-term care.^[27] However, the model's centralization in New York has drawn scrutiny, including a 2024 lawsuit by competitor Fiscal Concepts LLC challenging the state Department of Health's contract award to PPL on procurement grounds, though the transition proceeded as mandated.^[33]

Payroll and Benefits Management

Public Partnerships, LLC (PPL) functions as a fiscal intermediary by processing payroll for personal assistants and caregivers in consumer-directed programs such as New York's Consumer Directed Personal Assistance Program (CDPAP), utilizing funds allocated from participants' Medicaid budgets. This includes calculating wages based on submitted timesheets, which participants or their representatives approve through PPL's online portals or paper submissions, ensuring timely disbursement typically on a bi-weekly or weekly schedule depending on state requirements. PPL handles all associated employment tax withholdings, including federal, state, and local income taxes, Social Security, and Medicare contributions, as well as employer payroll taxes, thereby relieving participants of direct administrative burdens.^[16]^[15]^[34] In addition to core payroll functions, PPL administers workers' compensation insurance, unemployment insurance filings, and compliance with labor regulations as the co-employer alongside program participants. For benefits, full-time personal assistants working more than 130 hours per month qualify for enrollment in PPL's SecureHealth Plan, a group health insurance option mandated under federal Affordable Care Act requirements for employers of sufficient size. The company also offers a comprehensive package for eligible workers, encompassing paid time off, holiday pay, overtime compensation at time-and-a-half rates, and access to a 401(k) retirement savings plan with potential employer matching contributions. Part-time workers under 130 hours monthly are directed to explore individual marketplace options via state exchanges like NY State of Health.^[27]^[34]^[35] PPL's technology platforms, such as the BetterOnline™ portal, facilitate electronic timesheet submission, payroll tracking, and benefits enrollment, aiming to streamline operations and reduce errors in processing for over 280,000 CDPAP enrollees in New York alone following the 2024 statewide transition to a single fiscal intermediary model. This system supports audit trails for compliance with Medicaid fiscal rules, including verification of hours against prior authorizations before payroll release. While PPL claims these services enhance efficiency and participant choice, independent analyses have scrutinized processing delays during high-volume transitions, though official state guidance allows bridging payments from prior intermediaries during onboarding.^[36]^[37]^[38]

Compliance and Technology Platforms

Public Partnerships LLC (PPL) maintains compliance functions as a fiscal intermediary by verifying that payments align with program regulations, ensuring tax withholdings are processed correctly, and handling Medicaid claims submissions.^[16] These efforts include monitoring participant budgets to prevent overspending and facilitating adherence to state-specific rules, such as background checks for service providers and qualification verifications before service delivery.^[17] Oversight is provided by the General Counsel and Chief Compliance Officer, with additional support from a Chief Information Security Officer responsible for data protection protocols.^[13] PPL employs technology platforms to support compliance and operational efficiency in consumer-directed programs. The PPL@Home system serves as an online portal where consumers and personal assistants register, manage authorizations, update information, and access paystubs, integrating features for timesheet approvals and budgeting tools.^[34] For electronic visit verification (EVV), mandated by the 21st Century Cures Act for non-live-in personal care services, PPL utilizes the Time4Care mobile app, which records start and end times, locations via GPS, and service details using smartphones or tablets.^[39]^[40] Alternative telephony-based EVV options are available for clock-ins via landline or mobile numbers, ensuring compliance with federal requirements for visit documentation.^[41] The MyAccount platform represents PPL's self-service portal for participants, enabling streamlined management of home care tasks like service scheduling and financial tracking, with high user ratings reported on app stores for its mobile components.^[42]^[27] These technologies aim to reduce administrative burdens while enforcing regulatory standards, though implementation in states like New York has involved transitions to EVV systems effective April 1, 2025, for all personal assistants.^[43] PPL's product and technology solutions are led by dedicated leadership to integrate these tools across 50 self-directed programs nationwide.^[13]

History

Early Development and Expansion

Public Partnerships, LLC (PPL) was founded on May 27, 1999, as a financial management services provider specializing in consumer-directed long-term care programs, particularly those under Medicaid home and community-based services waivers.^[44] The company was established to assist individuals with disabilities, seniors, and others in managing payroll, taxes, and benefits for caregivers they selected, addressing administrative burdens in emerging self-directed models that gained traction through federal demonstrations in the late 1990s.^[14] This timing aligned with policy shifts emphasizing participant control over services, reducing reliance on traditional agency-based care.^[13] In its initial operations, PPL concentrated on core fiscal intermediary functions, including processing payments for goods and services, ensuring compliance with state Medicaid requirements, and providing electronic tools for budget tracking.^[13] Early growth involved securing contracts in states adopting self-direction, building on the foundational Cash & Counseling initiatives that demonstrated cost savings and higher satisfaction compared to agency models.^[45] By the early 2000s, PPL had expanded beyond pilot programs, serving participants in multiple jurisdictions and refining technology platforms to handle increasing volumes of transactions. The company's expansion accelerated as more states implemented Section 1115 and 1915(c) waivers promoting consumer direction, with PPL positioning itself as a scalable alternative to fragmented local fiscal agents.^[8] This period saw PPL grow from a niche operator to a national player, managing services for tens of thousands of participants by the mid-2000s through competitive bids emphasizing efficiency and electronic processing.^[46] Key to this development was investment in proprietary software for real-time payroll and reporting, which differentiated PPL in a market previously dominated by manual processes.^[13]

Major State Contracts Pre-2020

Prior to 2020, Public Partnerships LLC (PPL) secured contracts as a fiscal intermediary in several states for Medicaid-funded self-directed personal assistance programs, focusing on payroll processing, benefits administration, and regulatory compliance for participants and caregivers. In New Jersey, PPL operated under agreements with the Department of Human Services, managing financial services for self-directed programs including those administered by the Division of Developmental Disabilities, with documented involvement by September 2017 involving joint administration across state entities.^[47] These contracts supported participants in selecting and paying caregivers, handling tasks such as timesheet approvals and tax withholdings. PPL also held a contract in Washington state for individual provider services under the Department of Social and Health Services, managing employment-related payments and background checks for home care workers prior to choosing not to renew, while remaining in good standing with state regulators.^[48] By 2020, operational reports in New Jersey highlighted issues such as payment delays and compliance lapses in PPL-managed programs, affecting thousands of participants and underscoring the scale of these engagements, though PPL attributed some challenges to program complexities rather than systemic flaws.^[49] In Oregon, PPL was awarded a contract in July 2020 following a competitive RFP process for fiscal intermediary services in behavioral health and home care, building on prior state-level engagements but marking a key pre-2020 expansion trajectory. These contracts collectively positioned PPL to process billions in annual payments across states, serving hundreds of thousands of individuals by the late 2010s, though specific per-state volumes varied and were subject to annual renewals and performance reviews.^[50]

Growth in Medicaid Programs

Public Partnerships LLC (PPL) achieved significant expansion in Medicaid programs post-2020, primarily through securing contracts to serve as fiscal intermediary for consumer-directed personal assistance services in multiple states. The company's role grew from managing select programs to handling large-scale operations, driven by state efforts to centralize administration and improve efficiency in home and community-based services (HCBS). By 2025, PPL operated as the fiscal intermediary in over 50 Medicaid self-directed programs nationwide, supporting enrollment in long-term care waivers and managed care initiatives.^[51] A landmark development was PPL's selection as the statewide fiscal intermediary for New York's Consumer Directed Personal Assistance Program (CDPAP), awarded on October 1, 2024, and effective April 1, 2025, under a competitive procurement by the New York State Department of Health.^[52] ^[53] This $9-11 billion contract consolidated payroll, benefits, and compliance functions previously fragmented across hundreds of local fiscal intermediaries, enabling PPL to oversee services for up to 280,000 Medicaid-eligible consumers requiring personal assistance.^[22] ^[54] The program's annual costs, reflecting heightened demand for consumer-directed HCBS, had tripled from $3.1 billion in 2018 to $11.2 billion by 2024.^[55] Enrollment surged rapidly following the transition. By April 1, 2025, 93% of the approximately 220,000 remaining CDPAP consumers—nearly 205,000 individuals—had started or completed registration with PPL.^[56] By May 19, 2025, 209,000 consumers were registered, with PPL processing timesheets and issuing payments to over 191,000 personal assistants in a single payroll cycle, totaling $619 million in gross wages across 198,000 assistants to date.^[57] ^[58] This scale represented one of the largest single-state expansions for any fiscal intermediary, aligning with federal Medicaid trends favoring self-direction to reduce institutionalization.^[59] Beyond New York, PPL extended its footprint in states like Virginia through partnerships such as Anthem HealthKeepers Plus for self-directed care and maintained operations in New Jersey's Division of Developmental Disabilities until a 2025 transition to another vendor.^[60] ^[32] To accommodate this growth, PPL announced leadership expansions in October 2025, adding executives focused on operations, compliance, and technology to scale nationwide Medicaid support.^[51] These developments positioned PPL as a dominant provider in Medicaid fiscal intermediation, processing billions in annual payroll while leveraging centralized platforms for electronic visit verification and worker management.^[18]

Involvement in Consumer-Directed Care

CDPAP Program in New York

The Consumer Directed Personal Assistance Program (CDPAP) in New York is a Medicaid initiative enabling eligible recipients to select, hire, train, and manage their own personal assistants, including family members or friends, for home-based care services such as personal care tasks, home health aide duties, and limited skilled nursing.^[15] Established under Social Services Law § 365-f in 1996, the program supports chronically ill or physically disabled individuals by promoting self-direction over traditional agency-provided care, with fiscal intermediaries handling administrative functions like payroll processing, tax withholding, and benefits management to ensure compliance with Medicaid regulations.^[61] ^[62] Public Partnerships LLC (PPL) serves as the statewide fiscal intermediary for CDPAP, a role mandated by the 2024-2025 New York State Budget requiring all approximately 280,000 participants to transition from multiple regional intermediaries to a single entity by early 2025.^[15] ^[22] The New York State Department of Health awarded PPL the contract on October 1, 2024, following a competitive procurement process, with the agreement valued at approximately $9 billion over its term to oversee payroll for personal assistants and facilitate consumer registrations.^[52] ^[23] Key transition deadlines included consumer and assistant registration by March 28, 2025, and full operational shift by April 1, 2025, supported by CDPAP facilitators—community-based organizations aiding enrollment and compliance.^[63] ^[64] In this capacity, PPL processes payments to over 200,000 personal assistants, manages electronic visit verification for service hours, and provides online portals for consumers to recruit caregivers, submit timesheets, and access training resources, aiming to standardize operations across New York while reducing administrative fragmentation previously handled by dozens of local fiscal intermediaries.^[27] ^[57] As of May 19, 2025, more than 209,000 consumers and 203,000 personal assistants had registered with PPL, reflecting substantial program enrollment amid the mandated consolidation.^[57] An appellate court ruling on October 23, 2025, upheld the Department of Health's contract award to PPL, confirming adherence to legal procurement procedures despite challenges from prior intermediaries.^[21] PPL's administration emphasizes technological platforms for efficiency, including self-service tools for direct deposit setup and background check facilitation, while integrating with Medicaid managed care plans to authorize services based on assessed needs.^[65] Rates for CDPAP services are set by the state, with personal assistants compensated at levels determined annually, such as the 2024 base rate adjustments tied to collective bargaining agreements for non-consumer-employed aides.^[66] The program's design prioritizes consumer autonomy, but PPL's centralized role has introduced uniform policies on eligibility verification and fraud prevention, such as mandatory worker documentation, to align with federal Medicaid requirements under 42 CFR § 484.^[67]

Operations in Other States

Public Partnerships LLC (PPL) serves as a financial management services (FMS) provider or fiscal intermediary for self-directed Medicaid home and community-based services (HCBS) programs in approximately 20 states, managing payroll, budgeting, and compliance for participants who hire caregivers, often family members.^[18] These operations support consumer-directed models under HCBS waivers, enabling participants to control services like personal care and goods, with PPL processing payments exceeding $10 billion annually across its programs.^[18] As of 2023, PPL handled over 153,000 participants in 51 programs across 22 states, though exact current figures vary by state contracts. In California, PPL acts as an FMS vendor for the Self-Determination Program (SDP), a Medicaid waiver initiative launched in 2018 that allows eligible individuals with developmental disabilities to develop individual budgets and select services, including hiring personal attendants.^[68] Under the sole employer model, PPL manages fiscal tasks such as timesheet processing and vendor payments, facilitating family-directed care without requiring participants to act as employers.^[69] The program serves thousands of participants through regional centers, with PPL emphasizing administrative efficiency to reduce state oversight burdens.^[70] New Jersey's Personal Preference Program (PPP), operational since 2009, utilized PPL as its fiscal intermediary until transitions began in 2025 to managed care organizations and new vendors like Acumen and Palco.^[71] PPL handled participant-directed budgets for long-term services, including cash allowances or employer-agent models for hiring aides, serving individuals with disabilities under Medicaid waivers.^[72] Similarly, in the New Jersey Division of Developmental Disabilities (DDD) Supports Program, PPL partnered as fiscal intermediary to process self-directed payments, though contracts shifted to Acumen starting May 2025.^[32] These efforts supported over 1,000 participants in DDD self-direction as of recent reports.^[17] In Pennsylvania, PPL managed self-directed options under programs like Community HealthChoices, but faced challenges including a reported 65% participant dropout rate attributed to administrative hurdles in one implementation phase. Operations focused on fiscal agent services for HCBS waivers, enabling budget flexibility for personal assistance, though specific enrollment numbers post-dropout are not publicly detailed in state reports. PPL's model in these states consistently prioritizes electronic payroll and compliance tools to scale services, with contracts renewed or bid competitively based on state procurement processes.^[73]

Program Cost Trends and Efficiency Claims

The Consumer Directed Personal Assistance Program (CDPAP) in New York experienced rapid cost escalation prior to the transition to Public Partnerships LLC (PPL) as the single fiscal intermediary, with annual expenditures rising from $3.1 billion in 2018 to $11.2 billion by 2025, driven by unchecked administrative proliferation across over 600 intermediaries and increased enrollment.^[55] This growth outpaced broader Medicaid personal care spending trends, contributing to New York's elevated per capita home care costs compared to national averages.^[74] New York State officials and PPL have asserted that consolidating to a single fiscal intermediary would yield significant efficiency gains by standardizing administration, curtailing fraud, and lowering overhead. The state projected $500 million in annual administrative savings through reduced intermediary fees and enhanced oversight, with overall taxpayer savings estimated at $1 billion per year post-transition.^[75] ^[76] PPL specifically highlighted reductions from prior intermediaries' fees, which reached up to $1,050 per participant in some cases, to a more uniform structure, alongside an additional $10 million-plus in yearly savings from tightened consumer monitoring protocols.^[77] These measures, according to proponents, address systemic vulnerabilities like duplicate enrollments and unauthorized payments identified in pre-transition audits, where fraud recovery efforts post-switch have already begun.^[78] However, independent analyses have questioned the net efficiency, noting that while administrative fees may decline, the program's foundational cost drivers—such as wage parity mandates and benefit expansions—persist, potentially offsetting gains amid ongoing enrollment growth. Pre-transition intermediary fees followed a tiered schedule, with charges ranging from $146.45 for participants averaging 1-159 monthly hours to $387.84 for 160-479 hours, but aggregate overhead across hundreds of entities inflated total expenditures by hundreds of millions annually.^[79] ^[80] As of late 2025, full post-transition cost data remains preliminary due to phased implementation and extensions, with the 2024-25 budget anticipating only $200 million in immediate savings despite incomplete rollout.^[81] PPL's model in other states, including Medicaid self-direction programs, similarly emphasizes scaled efficiencies, such as bulk payroll processing and technology platforms to minimize per-participant administrative burdens, though New York-specific claims dominate discourse given the program's scale. State projections for curbing growth targeted nearly $750 million in savings by streamlining from fragmented intermediaries, yet critics from fiscal watchdogs argue that without transparent audits, purported reductions risk being eclipsed by litigation costs and operational disruptions during the 2025 handover.^[82]^[55]

Controversies and Criticisms

New York CDPAP Transition Issues

The New York State budget for fiscal year 2024-25 mandated a transition of the Consumer Directed Personal Assistance Program (CDPAP) from approximately 600 fiscal intermediaries to a single entity, Public Partnerships LLC (PPL), effective in phases starting in 2024, affecting an estimated 250,000 to 280,000 Medicaid enrollees who rely on self-directed home care services.^[83]^[84] This overhaul aimed to centralize payroll processing, reduce administrative fragmentation, and address fraud vulnerabilities, as evidenced by a October 2024 U.S. Department of Justice indictment of eight New York CDPAP-related companies for $68 million in fraudulent claims.^[65] However, the implementation encountered widespread logistical and operational challenges, including registration delays, communication breakdowns, and disruptions to care continuity.^[75]^[85] Consumers and personal assistants reported difficulties accessing PPL's systems, with complaints of prolonged telephone wait times exceeding hours, unresponsive online portals, and payroll processing errors that delayed wage payments for caregivers.^[86]^[87] The transition's phased deadlines—initially set for March 31, 2025, for non-registration leading to service termination—prompted extensions, such as a late registration window and postponement of personal assistant health assessments to August 1, 2025, to mitigate service interruptions.^[83]^[84] Despite state assurances that CDPAP eligibility and core services remained unchanged, practical barriers led to fears of care gaps, particularly for vulnerable populations dependent on family caregivers.^[15]^[88] Legal challenges intensified scrutiny, including a federal Temporary Restraining Order (TRO) issued on April 1, 2025, pausing further transitions amid claims of inadequate preparation and potential violations of due process, though completed transitions were unaffected.^[89] Advocacy groups and lawmakers, such as Senator Joseph Griffo, highlighted risks to participant well-being, including PPL's out-of-state operations complicating local support and the program's shift from consumer choice to centralized management.^[90]^[91] Protests in April 2025 by consumers and workers underscored these concerns, with reports of inadequate health insurance options for personal assistants, featuring high deductibles and premiums rendering coverage unaffordable for some.^[92]^[93]^[94] By August 2025, ongoing hearings revealed draft legislation predating the budget that explicitly named PPL, raising questions about procurement transparency, while consumer advocates described the process as "chaotic" with insufficient safeguards against service denials.^[75]^[91] As of October 2025, investigations continued into state communications with PPL, and while the Department of Health extended deadlines to facilitate completion, reports persisted of unresolved payroll and enrollment hurdles, potentially exacerbating workforce shortages in home care.^[55]^[95]^[96]

Allegations of Fraud and Mismanagement

In April 2025, personal assistants filed a class-action lawsuit against Public Partnerships, LLC (PPL) in New York, alleging wage theft, including failure to pay minimum wage, overtime, and timely compensation for legitimate hours worked under the Consumer Directed Personal Assistance Program (CDPAP).^[97] ^[98] The complaint claims PPL systematically rejected valid timesheets and payroll submissions during the program's transition to a single fiscal intermediary, resulting in thousands of workers experiencing delayed or unpaid wages, with some plaintiffs reporting months-long arrears as of May 2025.^[98] Plaintiffs argue this stemmed from PPL's inadequate systems and policies, not worker errors, violating New York Labor Law and federal Fair Labor Standards Act provisions.^[98] Critics, including state lawmakers and consumer advocates, have attributed these payment failures to broader mismanagement of the CDPAP transition mandated by Governor Kathy Hochul's administration in late 2024, which consolidated over 600 fiscal intermediaries into PPL effective March 2025.^[99] New York State Senator Steve Rhoads cited "mismanagement of the transition process" and lack of transparency, noting widespread complaints from families about disrupted care and unpaid caregivers by early March 2025.^[99] U.S. Congressman Ritchie Torres described the rollout as "catastrophically mismanaging the transition," urging federal and state inspector generals to investigate in January 2025, prior to full implementation.^[100] A separate incident in July 2025 involved an alleged internal phishing scam at PPL, where an employee reportedly diverted funds intended for CDPAP participants into fraudulent bank accounts, prompting PPL to notify the New York Department of Health and characterize it as evidence of enhanced fraud detection post-transition.^[101] While PPL maintains such cases demonstrate the benefits of centralized oversight in curbing prior systemic abuses, detractors view it as indicative of operational vulnerabilities in handling an $11 billion program serving over 250,000 participants.^[101] No criminal charges have been filed in this matter as of October 2025, and PPL has contested the wage theft lawsuit, moving to dismiss claims of systemic policy violations.^[102] PPL has faced prior scrutiny in other states for similar issues, including a Pennsylvania lawsuit alleging improper denial of overtime to direct care workers, though outcomes remain pending or settled without admission of liability.^[103] Advocacy groups like Consumer Directed Action of New York have highlighted PPL's history of contract losses in New Jersey and operational disruptions in Pennsylvania, including unpaid workers during transitions, as patterns of recurring mismanagement.^[12] These allegations contrast with state defenses emphasizing PPL's role in identifying pre-transition fraud, such as billing for deceased or hospitalized patients, uncovered in over 30 cases by July 2025.^[78] Independent verification of fraud claims against PPL remains limited, with most evidence deriving from litigant complaints and political critiques rather than regulatory findings.

Lawsuits and Regulatory Scrutiny

In March 2025, a putative class action lawsuit was filed in the U.S. District Court for the Eastern District of New York on behalf of CDPAP participants, alleging that the New York State Department of Health's transition to Public Partnerships LLC (PPL) as the sole fiscal intermediary violated federal Medicaid requirements by failing to provide adequate notice and risking disruption of home care services.^[104] The suit sought to pause the rollout amid reports of technical glitches and payment delays; a temporary restraining order was issued on April 1, 2025, halting aspects of the transition pending further hearings.^[89] The case reached a settlement in July 2025, with provisional approval granted on August 13, 2025, providing remedies such as extended transition periods and enhanced support for affected consumers.^[105] ^[106] On April 25, 2025, The Legal Aid Society filed Calderon et al. v. Public Partnerships, LLC in the same federal court, accusing PPL of violating the Fair Labor Standards Act and New York labor laws by underpaying, delaying, or failing to pay wages to thousands of CDPAP personal assistants, with claims of over $10 million in owed compensation stemming from payroll processing errors during the program's early implementation.^[107] ^[98] The amended complaint, filed May 10, 2025, detailed systemic failures in PPL's payroll system, including unprocessed timesheets and erroneous deductions, affecting caregivers serving approximately 280,000 Medicaid recipients.^[98] This action highlighted operational challenges in PPL's centralized model, contrasting with the decentralized fiscal intermediary system it replaced, though PPL has attributed delays to high call volumes and data migration issues from prior intermediaries.^[108] Regulatory scrutiny intensified in mid-2025, with reports emerging of a U.S. Department of Justice investigation into the New York CDPAP overhaul, focusing on contract procurement and implementation flaws under PPL's administration.^[109] New York lawmakers, including Senator James Skoufis, launched probes in June 2025 into the $9 billion program's vulnerabilities to fraud and mismanagement post-transition, citing over 100,000 consumer complaints about service disruptions.^[110] In July 2025, a PPL employee was accused of falsifying direct deposit information to divert funds intended for participants, prompting internal audits and state oversight; this incident, affecting potentially thousands, underscored risks in PPL's electronic payment processes despite the transition's aim to reduce fraud prevalent in the prior multi-intermediary setup.^[101] The New York Department of Health issued a cease-and-desist order on March 11, 2025, targeting unauthorized practices in the program, with provisions for recoupment of fraudulent Medicaid claims.^[111] Earlier, in December 2024, Freedom Care LLC challenged PPL's contract award in state court, alleging improper collusion between PPL and state officials to exclude competitors, but the claims were rejected by New York authorities, who defended the procurement as compliant with state law to consolidate oversight and curb prior abuses.^[112] These actions reflect broader tensions in PPL's expansion into state Medicaid programs, where efficiency gains from scale have been offset by transitional disruptions, though no systemic fraud charges against PPL itself have been substantiated as of October 2025.^[78]

Contract Awarding Processes

In New York, the Department of Health (DOH) awarded Public Partnerships LLC (PPL) a contract on October 1, 2024, to serve as the statewide fiscal intermediary for the Consumer Directed Personal Assistance Program (CDPAP), centralizing administration from over 600 prior entities into one, with an estimated value of $9-11 billion over the contract term.^[52]^[113] The state described the selection as resulting from a competitive request for proposals (RFP) process initiated under the 2023 state budget, aimed at achieving $1 billion in annual savings through economies of scale.^[113]^[9] Critics, including state Senator James Skoufis, alleged the process was rigged, citing draft legislative language from early April 2025 that explicitly named PPL for a no-bid contract, which was later revised after Senate opposition to include competitive bidding provisions.^[54]^[114] Skoufis presented this during an August 2025 Senate hearing, arguing it suggested pre-selection by Governor Kathy Hochul's administration, with PPL winning despite the change.^[54]^[115] Further scrutiny arose from PPL's admission of pre-award communications with DOH, which a PPL vice president initially denied under oath but later acknowledged as unspecified exchanges, prompting questions about procurement fairness.^[116]^[117] DOH defended the process as compliant with state procurement laws, stating the RFP was publicly advertised, multiple bids evaluated on criteria including cost, experience, and technology, and no disqualifying irregularities occurred.^[21] A lawsuit by competitor Fiscal Consulting LLC (FCL) claimed the bidding was a "sham" designed to favor PPL, but an appellate court affirmed the award on October 23, 2025, ruling DOH followed legal procedures without evidence of bias or procedural flaws.^[21]^[33] PPL echoed this, asserting its selection stemmed from superior qualifications in managing similar Medicaid programs across 24 states.^[9] In other states, PPL's contracts for Medicaid fiscal intermediation, such as in Texas and Pennsylvania, typically follow standard competitive procurement under state guidelines, with fewer public disputes documented compared to New York.^[9] These processes emphasize vendor experience in electronic visit verification and payroll systems, often via RFPs evaluated by state agencies.^[9] No widespread no-bid allegations appear in records for these jurisdictions, though critics broadly question privatization efficiencies without specific bidding irregularities.^[9]

Achievements and Defenses

Reported Successes in Program Administration

Public Partnerships LLC (PPL) reported high levels of satisfaction among participants in New York's Consumer Directed Personal Assistance Program (CDPAP) following a June 2025 survey of 52,292 respondents, including 16,320 consumers or designated representatives and 35,972 personal assistants, with an overall satisfaction rating of 4.04 out of 5 and specific approvals exceeding 4.25 for timekeeping and timesheet processes.^[118] Approximately 80% of personal assistants utilized PPL's Time4Care electronic visit verification app, contributing to efficient administration as noted in the survey results.^[118] PPL highlighted the successful completion of what it described as the largest self-directed care transition in U.S. history, consolidating over 600 fiscal intermediaries into a single statewide entity by April 1, 2025, while processing $2.2 billion in payroll for more than 236,000 personal assistants and 200,000 consumers.^[119] By March 20, 2025, nearly 150,000 consumers and 160,000 personal assistants had initiated or completed registration with PPL, supported by over 940,000 inbound calls handled at PPL's support center.^[120] More than 95% of CDPAP consumers received paid care through the registered personal assistants, according to PPL's operational data.^[121] Participant testimonials underscored administrative efficiencies, with personal assistants and consumers citing the simplicity of PPL's Time4Care app for clocking in, responsive customer service, multilingual support, and streamlined payroll visibility as improvements over prior systems.^[119] PPL's model has been credited with lowering administrative costs through statewide standardization and logistical streamlining, enabling sustained program viability amid rising Medicaid expenditures.^[122] These outcomes were reported by PPL and aligned state health department updates, reflecting self-assessed metrics in program delivery.^[30]

Responses to Criticisms

Public Partnerships LLC (PPL) has responded to criticisms of the CDPAP transition by citing a large-scale internal survey conducted in June 2025, which garnered over 52,000 responses from consumers, designated representatives, and personal assistants. The survey reported an average overall satisfaction rating of 4.04 out of 5, with timekeeping systems rated at 4.27 out of 5, positioning these results as evidence of effective program administration despite reported disruptions.^[118]^[121] PPL emphasized that 80% of personal assistants utilized its Time4Care electronic visit verification app, with high marks across timekeeping methods, countering claims of widespread payment errors and glitches by highlighting user adoption and feedback.^[123] In addressing allegations of fraud and mismanagement, PPL has pointed to pre-transition data analysis revealing patterns of potential abuse under the prior multi-fiscal intermediary model, including over 1,000 personal assistants submitting timesheets for more than 20 hours per day over multiple consecutive days, which could cost Medicaid up to $10 million annually. PPL stated that its centralized system, incorporating electronic visit verification and unique personal assistant identifiers, enables better detection and prevention of such issues compared to the fragmented oversight of approximately 600 prior intermediaries.^[31] The company collaborates with the New York State Department of Health to review these cases, arguing that the transition reduces opportunities for waste, fraud, and abuse while safeguarding program integrity.^[78] Regarding transition delays and service disruptions, PPL has defended its operations by publicizing testimonials from consumers and caregivers who reported smooth shifts to the new system, attributing successes to streamlined processes and dedicated support. Company representatives, including Vice President Patty Byrnes, testified in August 2025 that PPL addressed technical glitches promptly and maintained high responsiveness, while disputing smaller-scale critic surveys—such as one with 214 respondents claiming missed payments—as unrepresentative of the broader 280,000-participant program.^[119]^[124]^[125] State Health Commissioner James V. McDonald has supported PPL's selection, citing the firm's national expertise in self-directed care programs as justification against claims of inadequate preparation.^[87] PPL has also countered narratives of program failure by underscoring long-term efficiencies, such as consolidated payroll processing that the company claims will curb the unsustainable cost growth observed pre-transition, where CDPAP expenditures rose from $3.5 billion in 2018 to over $20 billion by 2023. These defenses align with the Hochul administration's rationale for the overhaul, emphasizing fiscal sustainability over anecdotal reports of hardship.^[126]^[127]

Impact on Participant Choice

The transition to Public Partnerships LLC (PPL) as the single statewide fiscal intermediary for New York's Consumer Directed Personal Assistance Program (CDPAP) in 2025 preserved the program's core mechanism of consumer-directed choice, whereby eligible Medicaid participants retain the authority to select, hire, train, and manage their personal assistants (PAs), including family members subject to statutory exclusions such as spouses or parents of minors under 21.^[15]^[65] PPL's administrative role focuses on payroll processing, compliance verification, and fiscal oversight, without imposing additional restrictions on PA selection beyond existing state and federal Medicaid guidelines.^[27] This structure aligns with CDPAP's statutory intent under New York Social Services Law § 365(1)(v), emphasizing participant autonomy in care direction over agency-assigned providers.^[128] Despite these continuities, the mandatory transition process—requiring all consumers and PAs to register with PPL by deadlines extended to August 1, 2025, following court injunctions—introduced administrative complexities, including online or phone enrollments and facilitator-assisted onboarding, which some participants reported as burdensome.^[129] These hurdles contributed to an estimated 40,000 consumers shifting from CDPAP to traditional Personal Care Services (PCS) by March 2025, a program model that relies on agency-employed aides rather than consumer hires, thereby reducing options for those preferring family-based care.^[130] New York State Department of Health data indicate that while CDPAP enrollment stabilized post-transition, the influx to PCS reflected dissatisfaction with procedural delays rather than direct curtailment of PA choice.^[120] PPL has defended the model by highlighting sustained participation rates, with over 80% of pre-transition consumers opting to remain in CDPAP under its management prior to full consolidation, attributing retention to streamlined electronic tools for PA management and timesheet submissions.^[30] Independent analyses, however, note that centralization to a single intermediary may indirectly constrain choice through uniform compliance enforcement, potentially disqualifying PAs for minor documentation issues more rigorously than under prior multi-FI systems.^[131] Participants retain the option to switch PAs at any time post-enrollment, and PPL facilitates this via its portal, though federal Medicaid rules limit such changes to documented needs.^[65] Overall, empirical outcomes show no systemic erosion of caregiver selection rights, but transition-related friction prompted measurable program exits, underscoring trade-offs between administrative efficiency and short-term access barriers.^[130]

Financial Performance

Revenue Sources and Growth

Public Partnerships, LLC (PPL) derives its revenue principally from administrative fees embedded in contracts with state governments to act as fiscal intermediary for self-directed human services programs, including Medicaid home and community-based services waivers. These fees cover operational functions such as participant payroll processing, tax compliance, vendor payments, and program oversight, often structured as per-member monthly rates or percentage-based charges on processed transactions. For instance, in various state programs, such fees have ranged from $150 to $1,050 per consumer per month for administrative support, excluding direct care reimbursements.^[30] ^[96] PPL's growth has been fueled by geographic and programmatic expansion, increasing from operations in a limited number of states since its founding in 1999 to serving 21 states across 50 programs by late 2024. This includes managing approximately $2 billion in annual payments for home care and goods services nationwide. A pivotal development occurred in October 2024, when New York State awarded PPL a $1 billion contract to become the sole statewide fiscal intermediary for the Consumer Directed Personal Assistance Program (CDPAP), a Medicaid initiative with annual expenditures exceeding $9 billion, enabling PPL to consolidate administration previously handled by multiple entities.^[132] ^[30] ^[112] Estimated annual revenues reflect this scaling, with third-party analyses placing PPL's figures between $750 million and $1.5 billion as of 2025, driven by contract wins and rising enrollment in self-directed care amid federal incentives for community-based alternatives to institutionalization. However, precise financials remain opaque as a private entity, with growth vulnerable to contract renewals, regulatory changes, and performance-based terminations observed in states like New Jersey and Tennessee.^[20] ^[133] ^[12]

Cost Projections in Managed Programs

In the transition to managed administration of New York's Consumer Directed Personal Assistance Program (CDPAP), state officials projected annual administrative cost savings of $500 million through consolidation under Public Partnerships, LLC (PPL), as the designated fiscal intermediary handling payroll, oversight, and compliance for the program's estimated $9 billion in annual expenditures.^[75]^[134] This projection stemmed from reducing fragmentation among multiple fiscal intermediaries, which had contributed to administrative overhead exceeding 10% of program costs prior to the overhaul.^[75] Overall CDPAP expenditures were forecasted to escalate from $2.5 billion in 2019 to $12 billion in state fiscal year 2025, driven by enrollment growth and utilization without corresponding efficiency gains, prompting the shift to centralized management to curb unsustainable trajectories.^[135]^[136] PPL's model emphasizes automated payroll processing and enhanced fraud detection, with early implementation yielding an additional $10 million in annual savings as of October 2025 through tightened consumer oversight and reduced erroneous payments.^[77] These projections assume stable enrollment and compliance rates, though critics note potential offsets from operational disruptions, such as delayed payments reported during the initial rollout, which could inflate short-term costs before long-term efficiencies materialize.^[87] In broader Medicaid managed long-term services and supports contexts, where PPL operates in multiple states, fiscal intermediaries like PPL typically cap administrative fees at 5-8% of service budgets, contrasting with higher rates in decentralized models and aligning with federal incentives for cost containment in self-directed programs.^[30]

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Mar 8, 2025 · Concerns remain regarding the state and PPL's mismanagement of the transition process, the lack of transparency from the New York State ...
[100]
Congressman Ritchie Torres Renews Call on Fed + State Inspectors ...
Jan 16, 2025 · “When 'bidding' for the contract for a $9 billion home care program, PPL defrauded the People of New York with a lie of omission, neglecting to ...
[101]
Worker at Hochul's hand-picked CDPAP payment firm allegedly ...
Jul 15, 2025 · Hochul's office did not comment on the allegations that funds were being siphoned into fraudulent bank accounts. ... scam,” PPL said in a ...
[102]
Latest on wage theft lawsuit against Public Partnerships LLC
Jul 25, 2025 · The plaintiffs in a wage theft lawsuit against Public Partnerships LLC argued the case should move forward, after P.P.L. filed a motion to ...Missing: fraud | Show results with:fraud
[103]
Public Partnerships, LLC and PCG Public Partnerships
The Complaint alleges that PPL violated federal law and Pennsylvania state law when it denied or improperly paid overtime wages to direct care workers.
[104]
Firm Achieves Provisional Approval of Settlement on Behalf of ...
Aug 13, 2025 · On March 26, the firm and NYLAG filed a putative class action in the Eastern District of New York, alleging that New York's planned transition ...
[105]
Federal Judge Grants Provisional Approval for CDPAP Consumer ...
Aug 13, 2025 · NYLAG and Patterson Belknap secured a provisional approval for a settlement on behalf of CDPAP participants who stood to lose care services.
[106]
New York CDPAP Class Action Lawsuit Reaches Settlement
Jul 8, 2025 · A class action lawsuit, filed on behalf of consumers of New York's self-directed Medicaid home care program, has reached a settlement with the state's ...
[107]
CDPAP caregivers sue PPL, claiming underpayment - NEWS10 ABC
Apr 28, 2025 · The Legal Aid Society sued Public Partnerships LLC in federal court in Brooklyn on April 25 over PPL's alleged failure to pay home care workers.<|separator|>
[108]
Call 4 Action inundated with complaints on NY's CDPAP system
Apr 18, 2025 · Last year, state law was changed due to fraud and abuse within the CDPAP system. ... Public Partnerships says its call volume has increased, the ...<|control11|><|separator|>
[109]
DOJ Reportedly Investigates New York's Embattled CDPAP Shakeup
Jun 3, 2025 · New York Lawmakers Introduce Bill To Reverse CDPAP Changes · Amid Ongoing Controversy In New York, Public Partnerships Is Awarded CDPAP Contract.
[110]
NY pols probe troubled $9B taxpayer-funded program for health aides
Jun 19, 2025 · ... Public Partnerships, LLC, as the sole “fiscal intermediary” for CDPAP. ... fraud and abuse of an old system. “The vast majority of ...
[111]
New York State Department of Health Issues Cease and Desist ...
Mar 11, 2025 · ... Public Partnerships LLC. "We want to ensure consumers are receiving ... Medicaid fraud subject to recoupment and/or consumer fraud.
[112]
New York rejects claims state colluded with CDPAP contract winner
Dec 31, 2024 · The lawsuit, brought by home care company Freedom Care LLC, alleged that Public Partnerships colluded with the state as early as April to steer ...
[113]
Amid Ongoing Controversy In New York, Public Partnerships Is ...
an Alpharetta, Georgia-based financial management services company — has been awarded the fiscal intermediary ...Missing: history | Show results with:history
[114]
State senator unveils new evidence suggesting NY's massive $11B ...
Aug 21, 2025 · Kathy Hochul's administration allegedly rigged a massive contract process for an $11 billion Medicaid home healthcare program. Aggravated state ...Missing: 2021-2025 | Show results with:2021-2025
[115]
Lawmakers question officials over CDPAP contract - NEWS10 ABC
Aug 21, 2025 · There have been reported problems with CDPAP's transition from hundreds of payroll processors to just one. The processor is now Public ...<|separator|>
[116]
Questions Arise Over Hiring of Firm to Run $11 Billion Health Care ...
Sep 5, 2025 · A company whose operation of an $11 billion home health care program for New York has been marred by widespread complaints faced new ...
[117]
Home Care Employer Walks Back Testimony, Fueling…
Sep 5, 2025 · Last year, Governor Kathy Hochul's administration announced that it had chosen the company Public Partnerships, LLC (PPL) to take over New ...
[118]
PPL Issues Broadscale Survey to NY CDPAP Population, Large ...
Jun 12, 2025 · PPL Issues Broadscale Survey to NY CDPAP Population, Large Majority of Consumers and Caregivers Report High Satisfaction with PPL Service & ...
[119]
Caregivers and Consumers Share Personal Stories on Successful ...
Aug 18, 2025 · “These stories show the positive outcomes of the transition to PPL as the statewide fiscal intermediary for New York's CDPAP program,” said ...
[120]
CDPAP Update - New York State Department of Health
Mar 20, 2025 · The New York State Department of Health today announced the latest progress made on the Consumer Directed Personal Assistance Program (CDPAP) transition.Missing: 2020 | Show results with:2020
[121]
PPL touts high customer satisfaction amid turbulent home care ...
Jun 12, 2025 · The company tasked with administering CDPAP conducted a survey which found that tens of thousands of consumers and home aides are happy with Public ...
[122]
A stronger future for consumer-directed care - Rochester Beacon
Oct 7, 2025 · Even more importantly, the transition to Public Partnerships LLC as the sole FI has brought clearer processes and stronger support for PAs and ...
[123]
Survey finds strong satisfaction with PPL among CDPAP users
Jun 14, 2025 · PPL reported that 80% of PA respondents use its Time4Care® EVV app, with high satisfaction across all timekeeping methods, including telephony ...
[124]
Lawmakers blast NY health commissioner over CDPAP rollout
Aug 21, 2025 · Patty Byrnes, Public Partnership's vice president for government relations, defended the company's response to those glitches and said it had ...<|separator|>
[125]
Criticism Mounts Over CDPAP Overhaul as Immigrant Workers Go ...
Aug 5, 2025 · Documented was among the first to report on instances of wage theft and mismanagement at PPL and has now recently uncovered that since the CDPAP ...
[126]
PPL reverses testimony on CDPAP transition | Crain's New York ...
Sep 5, 2025 · Home care company admits to meeting with state officials before getting contract to overhaul program · Tweet · Share.Missing: 2021-2025 | Show results with:2021-2025
[127]
POLITICO Pro Q&A: Public Partnerships CEO Miki Kapoor discusses ...
Oct 6, 2025 · Kapoor has been with PPL since 2022, serving as a member of the board of directors. In August, he was named to replace former CEO Vince Coppola.
[128]
Guidelines for Consumer Directed Personal Assistance Services
An enrollee may request a consumer directed personal assistant at the time of enrollment, assessment or reassessment or when in receipt of personal care.
[129]
CDPAP: April 2025 Transition to PPL as Single Fiscal Intermediary
Oct 3, 2025 · April 10, 2025 - Court issues Preliminary Injunction extending deadline until May 15th for consumers to enroll with PPL and June 6th for PAs.<|separator|>
[130]
New York State Department of Health Provides Update on Latest ...
Mar 17, 2025 · State Estimates Additional 40,000 Consumers in Process of Transitioning from CDPAP to Personal Care Services.
[131]
New York State CDPAP Program Changes for 2025
Apr 2, 2025 · The NY CDPAP program now restricts Medicaid-eligible home care consumers and their providers to a single Fiscal Intermediary (FI).
[132]
The company that just won health care's most coveted contract
Oct 2, 2024 · Gov. Kathy Hochul handed over a home care program that costs the state $9 billion to financial services firm Public Partnerships LLC this week.Missing: achievements | Show results with:achievements
[133]
PPL - Overview, News & Similar companies | ZoomInfo.com
PPL's revenue is $1.5 Billion What is PPL's SIC code? PPL's SIC: 87,874 What is PPL's NAICS code? PPL's NAICS: ...
[134]
Public Partnerships, LLC to manage CDPAP - Spectrum News
Sep 30, 2024 · New York state has announced which company has been chosen to manage the $9 billion contract for a Medicaid home care program.Missing: cost | Show results with:cost
[135]
CMS To Review New York's CDPAP Overhaul Amid Controversy
Apr 8, 2025 · As part of an overhaul of the program, consumers and personal assistants were required to register with fiscal intermediary Public Partnerships ...Missing: platforms | Show results with:platforms<|separator|>
[136]
CMS reviews controversial New York Medicaid home health overhaul
Apr 7, 2025 · Public Partnership LLC and the CDPAP program have attempted to defend the changes. “This misinformation campaign has been going on for ...