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Community First Choice (CFC)

Resources for the application process for the Community First Choice CFC program. 

Are you or a loved one living in the community and needing assistance to remain there?   The Affordable Care Act created an optional State Plan service that will allow eligible individuals to access Personal Attendant Care (PCA) and other services and supports through self-direction.   This is called Community First Choice (CFC).  

Click on the button below to submit an online application for CFC. For assistance or to complete an application by phone: please dial 2-1-1 between 8:30 AM and 5:00 PM Monday through Friday - Choose Option 3


To complete an application by phone: please dial 2-1-1 between 8:30 AM and 5:00 PM Monday through Friday - Choose Option 3

What is Community First Choice?

Community First Choice (CFC) is a new program in Connecticut offered to active Medicaid members as part of the Affordable Care Act. This program allows individuals to receive support and services in their homes. These services can include—but are not limited to—help to prepare meals and do household chores, and assistance with activities of daily living (bathing, dressing, transferring, etc.). Educational services will be available to help you increase your independence, and learn how to manage your in-home staff.

Who is eligible?

CFC is open to any Medicaid member that can self-direct services and meets the Institutional Level of Care. Institutional Level of Care means you would likely need to be in an institution, such as a nursing home if you did not have a home and community-based services. This program allows an eligible person to have care and support in their home.

What is self-direction? Can I have help with my self-direction?

Self-direction is when you, or someone you appoint, make the decisions regarding your care and services. You have control over what services you want in the home, and you have the responsibility of managing those services. Self-direction promotes personal choice and control during a person-centered planning process. If you have a Conservator or someone acting with Power of Attorney (POA), they can help you self-direct.

Whom can I hire?

If you enroll in CFC, you will be able to hire from a pool of qualified staff. You can hire certain family members and friends. You will set the hiring requirements for each of your staff. Can I hire any family members?
In most cases, yes! There are some exclusions, which you can discuss with the Care Manager assigned to you.

Will criminal background checks be completed?

Yes, the State of CT is committed to allowing you to choose whom you hire. We also want that to be a well-informed choice. You will receive background check information on all staff you want to hire.

Where can I get care?

Care is provided in your home. You can also use staff to go out for community activities, doctor’s appointments, and errands.

How does this affect me if I am currently on a waiver?

Any individuals currently on a waiver will remain on that waiver. If you use self-directed Personal Care Assistants (PCA) on your waiver, you will automatically become a CFC participant for the covered services. Additional information will be provided by your Waiver Care Manager.

How does this affect me if I am on the PCA Waiver waitlist?

If you are on the PCA waitlist and are active on Medicaid, you can apply for CFC.

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