2026 Colorado Medicaid

Community First Choice (CFC) Transition Roadmap

Everything you need to navigate the transition with confidence.

The move to Community First Choice (CFC) is the largest shift in Colorado Medicaid history. For families, it means the end of legacy waivers and the introduction of a new "Task Standard" model. At Caregivers First Choice, we believe this transition is an opportunity to validate your work with visible rewards—ensuring the money follows the care.

The Math of Care

Master the 19,000-unit "Soft Cap" and learn exactly how the state applies age-based standards to your authorized hours.

The Power of Words

Learn the technical language required to provide "Justification Narratives" that accurately illustrate your loved one's level of care.

Legally Responsible Person (LRP) Compliance

Navigate the new 5-hour Homemaker cap for parents and spouses while protecting your skilled Health Maintenance hours..

Skilled Independence

Discover how the Community First Choice program allows you to get paid for skilled care without the hurdle of CNA school.

View Tax Guide

Keep more of your hard-earned pay by understanding the IRS Notice 2014-7 federal tax exclusion for live-in caregivers.

Our Promise: We don't just "match" you with a program. We act as your technical partner during the 2026 transition, ensuring you keep the hours and the pay you deserve.

A Commitment to Integrity and Stewardship

At Caregivers First Choice, we are stewards of the public funding that makes home care possible. Our mission is to ensure that the "Family Caregiver" is recognized as a professional credential in Colorado.

By educating yourself on these 2026 changes, you are helping us prove that the best care happens in the home, led by the people who know the member best. We hope this roadmap facilitates productive, honest conversations with your Case Manager and leads to a service plan that truly reflects your family's needs.