Community First Choice Option (CFCO) LOCAL DISTRICT SOCIAL SERVICE OFFICES

~~“Overview
• Community First Choice Option (CFCO) became available to all states under the Affordable Care Act of 2010
• This option provides a 6 percent increase in federal matching payments to states to expand and enhance Medicaid State Plan (State Plan) home– and community–based attendant services to individuals in need of long–term care for Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs) and health–related tasks
• The LDSS will now be required to administer the CFCO through adherence to the State Plan, 42 CFR Part 441, and State–issued guidance, which will ensure statewide consistency when authorizing or reauthorizing CFCO services
• All services must be provided statewide in a manner that provides such services in the most integrated setting appropriate to the individual´s needs, and without regard to the individual´s age, type or nature of disability, severity of disability, or the form of home and community–based attendant services and supports that the individual requires to lead an independent life”