A comparative analysis of state adoption of the Community First Choice program. Issue 3 (3rd July 2021)

• Record Type: Journal Article
• Authors: Beauregard, Lisa Kalimon; Miller, Edward Alan
• Is Part Of: Home health care services quarterly. Volume 40:Issue 3(2021)
• Page Start: 177
• Page End: 191
• Publication Date: 2021-07-03
• Subjects: Home and community-based services -- Medicaid -- Affordable Care Act -- policy adoption; Home care services -- Periodicals; Home care services -- United States -- Periodicals; Home Care Services -- Periodicals; 362.14
• DOI: 10.1080/01621424.2021.1947926
• Languages: English
• ISSNs: 0162-1424

Abstract

ABSTRACT: Over the last several decades, policymakers have focused on rebalancing Medicaid-funded long-term services and supports toward home and community-based services (HCBS). The Patient Protection and Affordable Care Act (ACA) included several opportunities for states to further promote HCBS options. One optional opportunity for states to expand Medicaid HCBS was the 1915(k) Community First Choice (CFC) program. To date, eight states have elected to add CFC as a Medicaid benefit. This study utilized comparative case studies to identify the factors that influenced states' adoption of CFC. Results highlight the important role that state bureaucrats, economic concerns, and existing HCBS programs had on states' decisions to adopt CFC.