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Community First Choice Medicaid Benefit

Concerning seeking an amendment to the medicaid state plan to implement the community first choice optional benefit.
2023 Regular Session
Health Care & Health Insurance
Bill Summary

The act requires the department of health care policy and financing (department) to seek federal authorization through an amendment to the state medical assistance plan to implement the community first choice option.

The act requires the state plan amendment to include personal care services, homemaker services, health maintenance activities, personal emergency response systems and other emergency back-up services, and voluntary training on how to select, manage, and dismiss an attendant.

The act authorizes the department to provide permissible services and supports that are linked to an assessed need or goal in an individual's person-centered service plan, including transition costs and expenditures relating to increasing an individual's independence or reducing reliance on human assistance.

To be eligible for the community first choice option, an individual must:

  • Be eligible for the state medical assistance program;
  • Be in an eligibility group under the state medical assistance program that includes nursing facility services, or if in an eligibility group that does not include nursing facility services, have an income that is at or below 150% of the federal poverty level; or
  • Receive an annual determination that in the absence of home- and community-based attendant services and supports, the individual would require the level of care furnished in certain care settings.

The act makes conforming amendments to remove the services provided through the community first choice option from other long-term care waiver programs.

APPROVED by Governor May 25, 2023


(Note: This summary applies to this bill as enacted.)


Became Law


Bill Text

  • All Versions (7 )
    Date Bill Type Documents
    05/25/2023 Signed Act PDF
    05/15/2023 Final Act PDF
    05/06/2023 Rerevised PDF
    05/03/2023 Revised PDF
    04/27/2023 Reengrossed PDF
    04/26/2023 Engrossed PDF
    04/18/2023 Introduced PDF

The effective date for bills enacted without a safety clause is August 7, 2024, if the General Assembly adjourns sine die on May 8, 2024, unless otherwise specified. Details