In a recent New York Daily News op-ed, PPL CEO Miki Kapoor highlights how Gov. Hochul strengthened New York’s Consumer Directed Personal Assistance Program (CDPAP) by moving from a fragmented system of more than 600 intermediaries to a single, centralized administrator: PPL. New York State has improved oversight to protect public dollars and the people who rely on Medicaid. Centralized data systems have uncovered issues that were previously impossible to detect — including caregivers logging overlapping or unsafe hours, timesheets submitted without patient review, and services billed in multiple locations at once. With tools such as electronic visit verification and unique caregiver identifiers, New York can verify when and where care is delivered, ensuring Medicaid dollars fund real services. Effective oversight at scale has dramatically lowered administrative costs, strengthened accountability, and improved transparency, safety, and access to high‑quality self‑directed care.