Community First Choice (CFC) Option: Colorado’s New Era of Medicaid Home Care

Colorado is making Medicaid home care better and more accessible with the launch of the Community First Choice (CFC) Option. Previously known as Consumer Directed Attendant Support Services (CDASS), the CFC Option is all about expanding access to home and community-based services, empowering Medicaid recipients to live independently.

Here’s what you need to know about this transition and why it matters.

What Is the Community First Choice (CFC) Option?

The CFC Option is a Medicaid program designed to help individuals who need assistance with daily tasks remain in their homes and communities. It offers essential services, such as:

• Daily living assistance: Bathing, dressing, eating, and more.
• Instrumental support: Meal preparation, housekeeping, and medication management.
• Consumer-directed care: Participants can hire and manage their own caregivers, including family members.

This program simplifies access to services and ensures greater flexibility and control for Medicaid recipients.

Why the Transition from CDASS to CFC?

The name change reflects a broader vision for care. Colorado adopted the CFC Option to:

• Align with federal Medicaid initiatives.
• Expand access to services by integrating them into the Medicaid State Plan.
• Secure a 6% increase in federal funding to support home care services.

This transition also reduces barriers, making it easier for individuals to qualify and receive the care they need.

What’s New Under CFC?

The CFC Option goes beyond CDASS by offering:

• Health maintenance activities like wound care and assistance with medical equipment.
• Electronic monitoring services for added safety.
• Streamlined processes, reducing the need for separate Home and Community-Based Services (HCBS) waivers.

With these enhancements, Colorado Medicaid recipients will have more tools to maintain independence.

Why CFC Matters

The CFC Option represents Colorado’s commitment to empowering Medicaid recipients and their families. By choosing this program, participants benefit from:

• Greater independence through consumer-directed care.
• Simplified access to services under Medicaid.
• A better quality of life, living at home and staying connected to their communities.

How to Learn More

The CFC Option launches July 1, 2025, with a phased rollout through 2026. To stay informed:

• Visit the HCPF website.
• Speak with your case manager for personalized guidance.

Take Control of Your Care with Cubhub

The Community First Choice Option isn’t just a new name—it’s a new way forward for Medicaid home care in Colorado. By prioritizing flexibility, independence, and expanded access, this program ensures that every eligible participant gets the care they deserve.

If your organization is looking for software to simplify visit documentation and streamline processes under this program, schedule a demo today to see how we can help.