The Affordable Care Act included a new Medicaid option for states called Community First Choice. States that take up the option can provide home and community-based services without a waiver or waiting list and receive increased federal financial support for the services. As of the end of 2013, only California and Oregon had been approved to implement the option by the Centers for Medicare and Medicaid Services (CMS). By the end of 2015, we would like to see four more states join them in implementing the Community First Choice Option and addressing the institutional bias in their Medicaid programs.
Six by '15 Campaign 