California Department of Social Services Letter To County Managers Of In-Home Supportive Services About Community First Choice Option
December 2, 2011 In this letter to California's counties, the state Department of Social Services (DSS) announced that the state had submitted a Medicaid State Plan Amendment (SPA) to implement the Medicaid Community First Choice Option (CFCO). The CFCO requires California to offer community-based long-term care services and supports (LTSS) to all Medicaid beneficiaries in the state who meet the level of care criteria. DSS notified the counties that people receiving In-Home Supportive Services (IHSS) in the Personal Care Services Program (PCSP) and the IHSS Plus Option (IPO) programs would be transitioned into CFCO services starting . . .

