Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Optional State Plan Services: Community Choice Services


The Affordable Care Act added §1915(k) to the Social Security Act, effective October 2011, which allows states to provide “Community-based Attendant Services and Supports”--called the Community First Choice Option. Under §1915(k), states that provide home and community-based attendant services and supports through their State Plans under this option will receive a six percentage points higher Federal match. Individuals must be eligible for Medicaid under the State Plan and have an income that does not exceed 150 percent of the Federal Poverty Level, or, if their income is greater, they must meet institutional level-of-care criteria. CMS plans to issue a Notice of Proposed Rule Making related to this provision of the Affordable Care Act in early 2011.

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