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Announcing Community First Choice Program (CFC)


Effective October 1, 2018

  • New program that is part of the Medicaid reform initiative also known as 1915(k).
  • Provides Personal Care Services and other supports in the recipient’s home as an alternative to institutional care.
  • All recipients who currently meet an institutional level of care and receive both Home and Community Based Waiver Services and Personal Care Services have predetermined eligibility; these recipients have received a letter of notification* (see link to letter below).
  • New applicants start with their local Aging & Disability Resource Center (ADRC) or their local Short-Term Assistance & Referral Program (STAR).

What Services are Available from the CFC Program?

  • Community First Choice Personal Care Service (CFC-PCS) – the number of hours of personal care service per week are determined by an assessment conducted by the Division of Senior and Disabilities Services.
  • Supervision and reminders – Additional CFC-PCS time may be available to recipients shown to have cognitive impairment or behavior issues.
  • Personal Emergency Response system (PERS) – Recipients may be eligible to receive a personal emergency response system or medical alert system that calls for help at the push of a button in the event of an emergency.
  • Skills training – Recipients may be eligible to receive skills training from a personal care assistant (PCA), so that the recipient can learn to do activities more independently.
  • Worker supervision - Recipients can receive training to help manage their PCAs.

Who is Eligible for CFC?

  • Applicants for the CFC Program must meet federal rules on financial and medical needs, including being determined to need an institutional level of care.
  • The first step to determine eligibility is to call or visit your local ADRC or STAR. Applicants often find it helpful to ask a family member or friend to help with the call or to go with them to the ADRC or STAR office.

Frequently Asked Questions​

CFCbrochure.pdfCFC brochure

*CFC Notice Letter sent to Long Term Services and Support Participants April 27, 2018​

*Opt Out Statement and form for Community First Choice (New 5/10/18)​

CFC Program Staff Contact
550 W. 8th Ave., Anchorage, Alaska 99501
Phone: (907) 269-3666 or (800) 478-9996
Fax: (907) 269-8164

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