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Community First Choice Option (CFCO) FAQs Posted

The Department of Health (DOH) posted a Frequently Asked Questions (FAQs) document as a follow-up to the June 27, 2016 Community First Choice Option (CFCO) webinar hosted by the University at Albany School of Public Health. The FAQs are divided by topics that include:

  • Implementation;
  • Person-Centered Service Plan;
  • Settings;
  • Assessment and Authorization;
  • Service Delivery;
  • Eligibility;
  • Coordination with the Office for People with Developmental Disabilities;
  • Coordination with the Traumatic Brain Injury (TBI) and the Nursing Home Transition and Diversion (NHTD) Medicaid waivers;
  • Collaboration with MCOs;
  • NY Connects Referrals;
  • Provider Enrollment/Provider Capacity; and
  • Service Limits/Definitions.

The FAQs document clarifies what is meant by CFCO, clarifies some of the new State Plan services, and addresses questions by topic area. As previously reported, the date for implementing CFCO services is now targeted for April 2017. Please note when reviewing the FAQs that DOH is actively developing flow charts and numerous guidance documents.

LeadingAge NY has been in contact with DOH to provide feedback on the guidance documents and to resolve several areas of concern. An ongoing area of concern that we have voiced at several DOH meetings centers on being a provider of service coordination and being a provider of another service by that same agency. DOH states in question #31 that "Federal regulations state that a consumer cannot receive service coordination and another service provision (such as personal care) from the same agency." We submitted our opposition of this interpretation in our comments to DOH regarding the transition of the TBI and NHTD waivers to managed care, and we will continue to voice our objection.

DOH issued a letter notifying plans that the Managed Long Term Care Partial Capitation benefit package will expand to include CFCO services effective April 1, 2017. The letter, which also notes that DOH will be scheduling a webinar to provide further details on implementing the additional services in a managed care environment, is available here.  

If you have questions or concerns regarding this latest document, please contact us.

Contact: Cheryl Udell, cudell@leadingageny.org, 518-867-8871 or Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841