Contact Information:
Does the patient live in New York?*
Yes
No
Are you the patient?*
Yes
No
Does the patient have Medicaid?*
Yes
No
I don't know
You can only join the CDPAP program if the patient has Medicaid, would you like assistance applying for Medicaid or determining eligibility?*
Yes
No
Patient will need Medicaid in order to join the program.
Unfortunately, this program is only for New York residents.
**Marked fields are required fields. We always respect your privacy.
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