03/11/2026
📣Key Takeaways from the March 4 CFC Council Meeting📣
Colorado shared updates on Community First Choice (CFC), HCBS waivers, and LTSS sustainability efforts. Here are a few important highlights:
👉 Why changes are happening: The state reports increased service use, rising costs, and budget pressures in Medicaid Long-Term Services and Supports (LTSS), prompting a review of policies to maintain long-term sustainability.
👉 Proposed rule updates: The state is working on a “clean up” rule revision to align regulations with how HCBS waivers and CFC are currently operating. Public feedback is open.
👉 Extraordinary cleaning clarification:
– The Legally Responsible Person (LRP) limit does NOT apply to extraordinary cleaning.
– Parents/spouses can be reimbursed for providing this service through a provider agency.
– This service is only available under CES and SLS waivers, not CFC, and must be for ongoing disability-related cleaning, not one-time projects.
👉 PMIP requirement: A Person-Centered Member Implementation Plan (PMIP) is required for all CFC members.
👉 LTSS sustainability discussions: The state is exploring potential soft caps on services like Personal Care, Homemaker, and Health Maintenance, with an exceptions process if additional hours are medically necessary.
‼️56-hour caregiver cap: The proposed weekly cap is currently paused, along with other initiatives such as IRSS rate alignment and Community Connector changes for children under 6.‼️
📆 Permanent rule changes are expected to take effect May 30, 2026, following an April rule hearing.
Please note: Families and advocates can still submit feedback on these proposals — so keep staying informed and advocating for your families!
🔗 Full summary (including official links mentioned in meeting): https://drive.google.com/file/d/1EEdnnA1p9WCgnACVl1-ZzySVUdjb6vwJ/view?usp=drivesdk
