Community First Choice 1915 (k)

The "Community First Choice Option"  allows States to provide home and community-based attendant services and supports to eligible Medicaid enrollees under their State Plan.  This State plan option was established under the Affordable Care Act of 2010.

This option became available on October 1, 2011 and provides a 6 percentage point  increase in Federal matching payments to States for service expenditures related to this option. The final regulation for the Community First Choice State Plan Option was published in the May 7, 2012  Federal Register. The final regulation defining the home and community setting criteria for the Community First Choice State Plan Option was published in the January 16, 2014 Federal Register.  . As required by law, CMS published the Community First Choice: Interim Report to Congress. This report summarizes interim findings on the CFC option. Interim findings include the status of states' submissions of State Plan Amendments for CFC as well as preliminary findings on the implementation and provision of services under CFC. An assessment of CFC's impact on the physical and emotional health of recipients, their ability to live independently, or the cost of services compared to those provided in institutional settings is premature, at this point in time. The data to analyze the cost effectiveness of CFC and its impact on beneficiaries' health and well-being were not available from states for inclusion in this interim report (see the Methods section for detail). These findings will be included in the final report to Congress.


Summaries of Approved 1915(k) State Plan Amendments