Disability & Long-Term Care · Surprise rank #311
Medicaid Can Pay for Home Changes, Disability Equipment and Daily-Living Training
Community First Choice Option (CFCO)
Who
Medicaid members with assessed long-term-care needs who meet the applicable program and plan requirements.
What to do
Start here: Ask your Medicaid plan, care manager, or local Medicaid contact for a long-term-services assessment and whether CFCO services are available for the need.
Eligibility: The need must relate to activities of daily living, instrumental activities, or health-related tasks and be reflected in the written plan of care.
What you get
Community First Choice Option is a Medicaid service framework for people who need long-term help with everyday and health-related tasks; it also supports certain community-based services such as environmental modifications and assistive technology when authorized.
Benefit: Authorized home- and community-based supports, which may include help from aides/direct-care workers and certain approved modifications or equipment.
Possible value: Services must be assessed, authorized, and tied to a person-centered plan; they are not a blanket home-improvement benefit.
Good to know
Important: Authorization, delivery system, caps, and provider availability vary; for example, environmental modifications must be necessary for health, safety, independence, or avoiding institutionalization.
Availability: Current New York Medicaid service framework.
Why people miss it: The acronym and plan-based delivery make it easy to miss when looking only for equipment or home repairs.
Sources reviewed: Aug 10, 2026