Impact of Proposed Changes to Connecticut's CFC Program on Medicaid Services
Residents in Connecticut are expressing concern over proposed changes to the state's Community First Choice (CFC) program, which could significantly impact individuals requiring advanced care. The CFC initiative, established under the Affordable Care Act, allows elderly or disabled individuals to receive necessary care while living independently by selecting their own services and personal care attendants.
The state government is considering transitioning participants from the CFC program to existing home and community-based service waivers or potentially a new Medicaid waiver. This shift forms part of a broader budget proposal by Governor Ned Lamont, incorporated within adjustments for the fiscal year 2027. Officials have cited escalating costs as the driving factor, with expenditures rising from $88.8 million in 2018 to an anticipated $371 million by 2025. Paid cases have doubled, reflecting this substantial increase.
The state projects long-term savings from these changes, estimating $8.1 million in savings in the fiscal year 2028, escalating to $109.1 million by 2030. Additionally, the proposal seeks to assist Medicaid clients who face challenges in hiring and managing personal caregivers by introducing agency-based service options.
Concerns Over Accessibility and Waitlists
Concerns have emerged regarding care accessibility under the proposed waivers, which often involve lengthy waitlists. State Senator Catherine Osten, co-chair of the Appropriations Committee, voiced apprehension about shifting individuals to programs with potentially years-long waiting periods. She stressed the success of CFC in providing immediate access to vital services, a benefit possibly lost under the new system.
Currently, the state Department of Social Services supports approximately 7,200 individuals through CFC services, with nearly half already partaking in alternative waiver programs. A comprehensive review of current participants’ needs is planned to ensure continued access to appropriate care, with potential establishment of a new waiver if deemed necessary.
Advocacy groups, including CT ADAPT, are actively engaging with state officials to deliberate on these policy changes. They argue that CFC effectively circumvents the long waits often associated with waivers, offering essential services based on assessed needs.
The outcome of these proceedings rests upon impending budgetary decisions, with state legislators preparing to deliberate on viable courses of action. The proposals highlight the intricacies of balancing program costs with the critical support requirements of Connecticut's most vulnerable populations.