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Community First Choice Option (CFCO)
The following information is to inform you of the stakeholder process for the new Community First Choice Option (CFCO) program. One requirement of CFCO is to have a Development and Implementation Council, the stakeholder process will occur through this Development and Implementation Council.
If you have any policy or general questions about the CFCO program or materials on this page, please send an email to APBPolicy@dss.ca.gov. If you have any questions about Quality Assurance in reference to the CFCO program, please send an email to IHSS-QA@dss.ca.gov.
Submission of the May 2013 CFCO SPA 13-007
After collaboration with the Development and Implementation Council on March 14th (see meeting information below) and the Department of Health Care Services (DHCS), CDSS finalized the CFCO State Plan Amendment (SPA) and forwarded it to DHCS for final submittal May 3, 2013 to the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS). CFCO SPA #13-007 We hope to have this SPA approved by July 1, 2013, but are currently awaiting approval.
Previous Meeting
March 14, 2013 - Development and Implementation Council Conference Call
- Purpose: To discuss new developments in the CFCO State Plan Amendment (SPA).
- Date: Thursday, March 14, 2013
- Time: 1:00 p.m. - 3:00 pm
- Call-In Information: Conference Call-In Line: (800) 762-4758, Participant Code: 285195
- Meeting Materials:
- Agenda, pdf
- CFCO Council Members, pdf
- Draft CFCO SPA, pdf
Submission and Approval Process of the December 2011 CFCO SPA 11-034
After collaboration with the Development and Implementation Council on November 17th (see meeting information below) and the Department of Health Care Services (DHCS), CDSS finalized the CFCO State Plan Amendment (SPA) and forwarded it to DHCS for final submittal December 1, 2011 to the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS). CFCO SPA #11-034
- Upon submission of the SPA, as mentioned above, the All County IHSS Program Manager Letter (December 2, 2011) was released announcing Community First Choice Option (CFCO).
- August 31, 2012 - CMS approved California's CFCO SPA:
- Press Release, pdf
- CFCO Approval Letter, pdf
- CFCO SPA, pdf
Also, the web address for CMS is: http://www.cms.gov/
Previous Meeting
November 17, 2011 - Development and Implementation Council Meeting
- Purpose: To discuss the development of a State Plan Amendment (SPA) for transitioning the In-Home Supportive Services (IHSS) program into CFCO.
- Where: California State University, Sacramento (CSUS), Modoc Hall, Suites 2 & 3
- Map (pdf), Driving directions to CSUS (pdf)
- Time: 1:30-3:30pm
- Call-in Number: (866) 286-9704
- Meeting Materials:
- Agenda (pdf)
- CFCO Council Members (pdf)
- Draft Recipient Brochure (pdf)
- Federal and State statute (pdf)
- PowerPoint (pdf)
- Individualized Back-Up Plan and Risk Assessment (SOC 864) (pdf)

