Community First Choice Option (CFCO)¶
Community First Choice Option (CFCO) provides Medicaid-eligible New York residents who need hospital, nursing facility, or ICF/IID level of care with personal assistance services in their own home or family member's home. Support needs are reassessed at least every six months or when needs change or at the individual's request.
Eligibility¶
- Care recipient must have a qualifying disability
Questions to ask the program¶
These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.
- Does the person receiving care live in New York? — Residency is usually the first thing a program checks.
- What counts as a qualifying disability or level of care need, and what documentation shows it?
- Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
- What documents do you need from us to start an application?
- Is there a waitlist right now, and how long is it?
What this record does not yet say¶
- a direct application link
How to apply¶
- individuals on NY State of Health (NYSOH) Medicaid requesting CFCO must contact the Health Exchange Facility (hxfacility@health.ny.gov, 518-473-6397); others go through their Local Department of Social Services or Managed Care Organization for CFCO eligibility determination