PPL

What PPL does

PPL (Public Partnerships LLC) is a privately held financial management services company founded in 1999 that operates as a fiscal intermediary for state Medicaid self-directed care programs. The company administers payroll processing, employment tax withholding, caregiver enrollment and background checks, budget management, electronic visit verification (EVV), third-party invoice payment, and compliance reporting on behalf of Medicaid participants who choose to hire and direct their own caregivers, including family members. PPL serves three primary audiences: (1) Medicaid enrollees with disabilities, chronic illness, or aging-related needs who direct their own home care; (2) the family members and hired attendants employed as caregivers under self-direction; and (3) state Medicaid agencies and managed care organizations that contract PPL as the program administrator.

PPL's platform consists of integrated web and mobile applications — PPL@Home (enrollment and account management), Time4Care (mobile EVV and timesheet app with a 4.5 app-store rating), BetterOnline (web-based timesheet and enrollment tools), MyAccount (comprehensive self-service portal), and PPL Connect (state and caregiver lookup). The underlying technology stack includes a rules-driven payroll engine capable of processing over 1 million timesheets in near real time, monthly exclusion list screening against OIG, SSA Death Master File, and state Medicaid exclusion databases, real-time payment controls, unique caregiver identification for cross-program traceability, and Medicaid billing integration. The platform is supported by multilingual call centers (nine languages including English, Spanish, Arabic, Bangla, French, Haitian Creole, Italian, Mandarin, and Urdu), a network of 40+ community-based facilitator organizations including Independent Living Centers, and partnerships with two health assessment providers (Mobile Health and The IMA Group).

PPL's business model is managed services revenue derived from contracts with state Medicaid agencies and managed care organizations. PPL currently operates across 18 states and 50 programs with 21 MCO partnerships, supporting 320,000+ participants and 390,000+ caregivers nationally and processing $10B+ in goods and services payments annually. The company's most strategically significant contract is the single statewide fiscal intermediary role for New York's Consumer Directed Personal Assistance Program (CDPAP) — a $9 billion Medicaid program consolidated in 2025 from over 600 previous fiscal intermediaries, projected to generate over $1 billion in annual taxpayer savings. PPL's revenue, ownership, and financial details are not publicly disclosed, and the company faces active regulatory risk from a US Department of Justice investigation seeking to unwind the New York contract.

Name

PPL

Legal name

Public Partnerships LLC

Website

https://pplfirst.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

501–1,000 employees

Short description

PPL (Public Partnerships LLC) is a financial management services provider serving as fiscal intermediary for state Medicaid self-directed care programs across 18 states, administering payroll, caregiver enrollment, EVV, and Medicaid billing for 700,000+ participants and caregivers, most notably as sole statewide FI for New York's $9B CDPAP program.

Ownership category

akta.pro rank

Product category

Medicaid Financial Management Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Home Health Care Services (62161)

SIC

Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Self-Directed/Consumer-Directed Caregiver Enrollment & Payroll Support (HSABAMAI)

akta.pro secondary industry

Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ)

Keywords

• Fiscal intermediary services
• Medicaid self-direction
• Home care payroll
• Electronic visit verification
• Caregiver payment processing

Headquarters

HQ city

Alpharetta

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Others

Revenue model

1. Financial Management Services (FMS): PPL serves as the financial management services provider for Medicaid self-directed care programs. They process payroll, manage employment taxes, handle enrollment, provide customer service, and generate service reports for program participants and caregivers. Revenue is derived from contracts with state Medicaid agencies and managed care organizations.

Go-to-market motion2 records

Distribution channels5 records

Marketing channels8 records

Core offering

PPL delivers Financial Management Services (FMS) for self-directed Medicaid home and community-based care programs, acting as the fiscal intermediary between Medicaid-paying entities (state agencies and MCOs) and program participants. Services include caregiver payroll processing, federal/state/local tax withholding and unemployment insurance, enrollment and background checks, monthly budget management, electronic visit verification (EVV), third-party vendor payments, and compliance/reporting. The offering is delivered through a proprietary platform combining the Time4Care mobile app, PPL@Home and BetterOnline web portals, and MyAccount self-service tools, supporting participants, caregivers, and government/MCO clients across 18 U.S. states.

Product overview

PPL operates as a financial management services (FMS) provider for self-directed Medicaid home and community-based care programs across 18 states and 50 programs. The PPL platform consists of integrated web and mobile applications—PPL@Home (enrollment and account management), Time4Care™ (mobile EVV and timesheet app), BetterOnline™ (web-based timesheet and enrollment tools), MyAccount (comprehensive self-service portal), and PPL Connect (state and caregiver lookup)—supported by core administrative services for payroll processing, tax withholding, budget management, third-party payment processing, enrollment support, and housing assistance. The company serves three primary audiences: program participants who choose and direct their own caregivers, the caregivers employed by participants, and state Medicaid agencies or managed care organizations (MCOs) overseeing self-directed care programs. PPL's flagship New York CDPAP program consolidation demonstrates the platform's capacity to administer large-scale statewide programs with centralized data visibility, compliance controls, and real-time service verification.

Differentiator

Problem solved

Functional benefit

Brands

• Time4Care™: Mobile timekeeping app for iOS and Android that allows caregivers and participants to log time, review, approve, and submit timesheets, and handle electronic visit verification.
• BetterOnline™
• MyAccount
• PPL Connect
• PPL@Home
• WiselyPay

Products and services

• Financial Management Services (FMS)
• Third Party Payment
• Information and Assistance

Quantifiable outcome

• Projected savings of $1 billion+ annually for New York taxpayers through CDPAP consolidation
• +3 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Nine partnerships are on record, tiered core and major.

• The IMA GroupcoreStrategic or Co-development Partner · 27 May 2026Partnership with The IMA Group as an additional health assessment provider for CDPAP. Starting May 27, 2026, some new Personal Assistants joining the program are assigned to The IMA Group for pre-employment health assessments during the PPL registration process. PAs already active continue with Mobile Health.
• Mobile HealthcoreStrategic or Co-development PartnerExisting health assessment partnership for CDPAP Personal Assistant medical screenings. Mobile Health continues to serve Personal Assistants active in the program prior to May 27, 2026, while new PAs may be assigned to The IMA Group.
• Independent Living Centers NetworkcoreChannel Partner/ Reseller/ DistributorNetwork of 11 Independent Living Centers across New York State authorized as CDPAP facilitators. Includes organizations like AIM Independent Living Center, ARISE Inc., Center for Disability Rights, and others providing culturally competent enrollment and customer service support.
• CDPAP Facilitator OrganizationsmajorChannel Partner/ Reseller/ DistributorOver 30 additional community-based organizations authorized as CDPAP facilitators including A+ Excellent Facilitators, Access: Supports for Living, Heritage Christian Services, and others located throughout New York State providing localized enrollment assistance and EVV support.
• NASDDDS (National Association of State Directors of Developmental Disabilities Services)majorStrategic or Co-development PartnerPPL attended and engaged with the NASDDDS Directors Forum & Policy Symposium, a three-day convening of state and territory I/DD leaders focused on advancing policy, strategy, and system improvement for developmental disabilities services and self-direction.
• ADvancing StatesmajorStrategic or Co-development PartnerPPL attended the 2026 ADvancing States Spring Membership Meeting, joining community leaders and partners for advancing home and community-based services. Event brings together Medicaid LTSS directors, federal officials, and partners.
• The Self-Direction CentermajorStrategic or Co-development PartnerPPL attended the National Self-Direction Conference as both sponsor and speaker. The Self-Direction Center hosts the only nationwide conference dedicated entirely to self-direction, bringing together people who self-direct, program administrators, policy leaders, and advocates.
• State Medicaid Agencies (18 states)coreChannel Partner/ Reseller/ DistributorPartnerships with state Medicaid agencies across 18 states including Arizona DES/DDD, Arkansas DHS, California DDS, New York DOH, and others to serve as financial management services provider for self-directed care programs.
• Managed Care Organizations (MCOs)coreChannel Partner/ Reseller/ DistributorPartnerships with 21 MCOs (19 MCOs specifically mentioned for self-direction programs) to provide financial management services for their member self-direction programs, including Aetna, UnitedHealthcare, Healthy Blue, and state-specific managed care plans.

Scale indicators9 records

Recent moves7 records

Expansion highlights5 records

Emerging players

• Sandata Technologies: Sandata provides EVV, billing, and home care management technology to state Medicaid agencies and providers. It is an adjacent technology player whose electronic visit verification and payer-facing capabilities overlap with portions of PPL's platform.
• HHAeXchange: HHAeXchange is a home care management and EVV platform serving Medicaid managed care plans and home care providers. It is an emerging technology player in adjacent infrastructure that PPL's EVV and billing capabilities intersect with.

Direct peers

• Palco: Palco is a fiscal management services company supporting self-directed Medicaid programs, providing payroll, tax, and compliance services to participants and caregivers. It is a direct competitor in the FMS / fiscal intermediary market.
• Acumen Fiscal Agent: Acumen Fiscal Agent provides financial management services for Medicaid self-directed care, including payroll processing and tax administration for participant-employed caregivers. It is a direct competitor to PPL in several state self-direction programs.
• Consumer Direct Care Network: Consumer Direct Care Network is one of the largest FMS providers for Medicaid self-directed care, operating as a fiscal intermediary/employer-of-record across numerous states. It competes head-to-head with PPL in many of the same state self-direction programs.
• Mains'l Group: Mains'l Group is a fiscal management services and employer-of-record provider for self-directed Medicaid programs, offering payroll, enrollment, and budget management. It competes with PPL for state FMS contracts.
• GT Independence: GT Independence is a financial management services provider for self-directed Medicaid programs, directly competing with PPL in multiple states. It offers employer-of-record/payroll services for participants directing their own caregivers, mirroring PPL's core FMS model.

Broad incumbents

• Centene Corporation: Centene is one of the largest Medicaid managed care organizations and a customer/partnership counterpart for PPL's FMS services. It represents both a buyer of PPL's services and a broad incumbent in Medicaid HCBS delivery.
• UnitedHealth Group: UnitedHealth Group, through UnitedHealthcare, is a major Medicaid managed care organization and a PPL customer/partner across multiple states. It is a broad incumbent with extensive reach in Medicaid HCBS.
• BrightSpring Health Services: BrightSpring is a large, publicly traded home and community-based services platform that overlaps with PPL through its provider services and pharmacy offerings to Medicaid populations. While broader than PPL's pure FMS focus, it competes in adjacent HCBS markets and serves many of the same state customers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/PartnerwithPPL
• YouTubeyoutube.com/channel/UCawQW9AO1hDUzD-6ccQrgdw/videos
• Facebookfacebook.com/publicpartnerships
• LinkedInlinkedin.com/company/public-partnerships-ppl
• Instagraminstagram.com/publicpartnershipsppl

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about PPL