State Progress on Community First Choice Option
To implement the Community First Choice Option (CFC), states must submit to the federal Centers for Medicare and Medicaid Services (CMS) an amendment to their state Medicaid plan. According to the Kaiser Family Foundation, two states – Oregon and California – have had state plan amendments (SPAs) approved by CMS. Two more states – Maryland and Arizona – have submitted SPAs. Four more – Montana, New York, Arkansas, and Minnesota – have indicated that they are planning to submit a SPA for CFCO this year.