Community First Choice (CFC) Frequently Asked Questions

Scroll or Select a Section

To Search: Press Ctrl F and type a keyword


Overview   Timeline   CFC Council

Page updated May 19, 2023


What is CFC?  

CFC is a State Plan option that allows states to provide home and community-based attendant services and supports to eligible Health First Colorado enrollees under their State Plan. This enables more people to access and provide these services to support and promote independence in the home and community. 


Who is affected by CFC and how? 

CFC moves some of the services currently offered under home and community-based service (HCBS) waivers, that support Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) under the State Plan to increase access to these services.  

Current HCBS members will have more options around how they receive these services. However, if a member is happy with their current services, the Department of Health Care Policy & Financing (Department) is committed to ensuring that minimal changes will be experienced.   

Additionally, individuals receiving services through CFC will still have access to home-and-community-based long-term care services and supports through other Medicaid State Plans, waivers, grants, or demonstrations, but will not be allowed to receive duplicative services in CFC or any other available community-based service. This may provide some flexibilities or new options for Health First Colorado members and other Health First Colorado members. 


What services are allowed to be included in the CFC benefit? 

The Center for Medicare and Medicaid Services (CMS) requires mandatory services that must be included in all CFC programs. These include:  

  • Activities of daily living (ADLs), instrumental activities of daily living (IADLs), health related tasks, through hands-on assistance, supervision, and/or cueing 
  • Acquisition, maintenance, and enhancement of skills necessary for the individual to accomplish ADLs and IADLs and health-related tasks, 
  • Back-up systems or mechanism to ensure continuity of services and supports; and,  
  • Voluntary training on how to select, manage, and dismiss attendants. 

Additionally, CFC offers two optional service categories, one being for expenditures for transition costs and the other for expenditures relating to a need identified in an individual’s person-centered service plan that increases an individual’s independence or substitutes for human assistance.  


Back to Top



When will CFC be implemented?  

The Department intends to make CFC Services available, or “go-live”, July 1, 2025.  


What is the CFC implementation timeline in CO?  

A detailed draft timeline can be found on the CFC DRAFT Timeline (Also see the Text-only DRAFT CFC Timeline).  


Why is the implementation date July 1, 2025? 

There are many changes that need to take place between May 2022 and July 2025 to ensure a smooth and sustainable transition to the CFC benefit. Please review the DRAFT CFC Timeline or Text-only DRAFT CFC Timeline for more details.  


Back to Top


CFC Council  

What is the role of the CFC Council (CFCC)? 

The CFCC primarily consists of individuals with disabilities, those 65 years or older, and their representatives. The experience and expertise of stakeholders will help ensure that CFC is implemented in a way that is both sustainable and best meets the needs of Coloradoans with disabilities. Through the sharing of experiences and recommendations, the CFCC will primarily:  

  • Identify, prioritize, and investigate key challenges 
  • Collaborate with Department on challenges and solutions 
  • Offer critical insights to support implementation 
  • Help raise awareness around CFC within communities  

It should also be noted that the CFCC is required by Code of Federal Regulation 42 CFR 441.575. This requirement aligns with the Department philosophy that services and supports must be developed in partnership with those who utilize the services. 


Who can attend the CFC Council? 

CFC Council meetings are open to the general public, and all interested stakeholders are welcome. 


How is input from the CFC Council used? 

The Department collects input from multiple sources including emails, feedback forms, phone calls, and CFC Council meetings where questions and comments are recorded and tracked using a feedback database. This information is then used by the Department to inform various decisions such as the types of services to be included in CFC implementation and transition members to CFC.  


How will past CFC council work be incorporated into this version of CFC? 

There have been previous attempts to implement CFC in Colorado. The Department is utilizing the previous CFC council work to help further inform decisions and ensure the successful and sustainable implementation of CFC in Colorado. 


How can I give input to the CFC council as someone who may be affected by CFC? 

There are multiple ways to give your input to the Department about CFC: 


What stakeholder opportunities are available to get involved in this work? 

There are many CFC Stakeholder opportunities, which include CFC Council meetings, CFC Volunteer opportunities, and CFC listening Sessions.  

More information on each of these opportunities can be found on the CFC Stakeholder Opportunities page. 


Back to Top


Return to CFC Home Page

Other Long-Term Services and Supports Programs