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Community First Choice (CFC)

About Community First Choice (CFC)

Starting July 1, 2025, Community First Choice (CFC) will be a new Medicaid benefit in Colorado that helps people with everyday tasks so they can live safely and independently at home, rather than in a nursing home or other facility.

CFC will be available to eligible Health First Colorado (Medicaid) members and offers personal care services without a waitlist. It’s meant to support people in staying in their homes and communities, with independence and choice.

Helping You Live Independently at Home, With Even More Support

Frequently Asked Questions about CFC

What is CFC?

CFC is a Medicaid benefit that covers essential in-home support services to assist with daily living. Some of these support services include:

  • Bathing, dressing, and personal hygiene
  • Help with meals and eating
  • Light housekeeping and laundry
  • Mobility assistance
  • Medication reminders

Who Provides These In-Home Support Services?

You can choose who provides your care, whether it be an agency or someone you trust.

Who Is Eligible for CFC?

To qualify for CFC, you must:

  • Be enrolled in Health First Colorado (Colorado’s Medicaid program).
  • Need assistance with daily activities.
  • Be at risk of needing care in a facility like a nursing home or hospital.

Not sure if you’re eligible? We’re here to help.

Call: 844-790-7647 or provide your information for a referral to CFC here: Case Management Agency (CMA) Services – RMHS and a case manager will assess your needs to determine eligibility.

How Do I Access CFC Services?

  • If You’re Not on a Medicaid Waiver: Contact your local Case Management Agency (CMA) to see if you qualify and to start the application process.
  • If You’re Already on a Medicaid Waiver: You don’t need to do anything right now. Your case manager will discuss CFC services with you during your next annual assessment.

What’s the Difference Between CFC and HCBS Waivers?

CFC provides basic personal care services with no waitlist for anyone who qualifies. HCBS waivers offer additional supports (like respite care or home modifications) for specific populations and may have waitlists. 

If you’re already receiving waiver services, you may still qualify for CFC. Your case manager can help determine what’s right for you at your next annual assessment.

Need More Information?

RMHS is here to help you understand and access the services you need. If you have questions, you can:

You can also visit the Colorado Department of Health Care Policy & Financing (HCPF) website for more details about the Community First Choice program and statewide updates: https://hcpf.colorado.gov/community-first-choice-option.