{"abstract":"This final rule implements section 2401 of the Affordable Care Act, which establishes a new State option to provide home and community-based attendant services and supports. These services and supports are known as Community First Choice (CFC). While this final rule sets forth the requirements for implementation of CFC, we are not finalizing the section concerning the CFC setting.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2012/05/07/2012-10294.html","cfr_references":[{"chapter":null,"citation_url":null,"part":441,"title":42}],"citation":"77 FR 26828","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective July 6, 2012.","disposition_notes":null,"docket_ids":["CMS-2337-F"],"dockets":[],"document_number":"2012-10294","effective_on":"2012-07-06","end_page":26903,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2012/05/07/2012-10294.xml","html_url":"https://www.federalregister.gov/documents/2012/05/07/2012-10294/medicaid-program-community-first-choice-option","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2012-10294?publication_date=2012-05-07","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2012-05-07/2012-10294/mods.xml","not_received_for_publication":null,"page_length":76,"page_views":{"count":10292,"last_updated":"2026-04-06 00:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2012-05-07/pdf/2012-10294.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2012-10294.pdf?1335471428","publication_date":"2012-05-07","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2012/05/07/2012-10294.txt","regulation_id_number_info":{"0938-AQ35":{"issue":"201110","html_url":"https://www.federalregister.gov/regulations/0938-AQ35/community-first-choice-option-cms-2337-f-","title":"Community First Choice Option (CMS-2337-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201110&RIN=0938-AQ35&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AQ35"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AQ35/community-first-choice-option-cms-2337-f-","title":"Community First Choice Option (CMS-2337-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2011-0019","supporting_documents_count":0,"docket_id":"CMS-2011-0019","regulation_id_number":"0938-AQ35","title":"Medicaid Program; Community First Choice Option","checked_regulationsdotgov_at":"2012-05-27T06:00:08Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":26828,"subtype":null,"title":"Medicaid Program; Community First Choice Option","toc_doc":"Medicaid Program; Community First Choice Option","toc_subject":null,"topics":["Aged","Family planning","Grant programs-health","Infants and children","Medicaid","Penalties","Reporting and recordkeeping requirements"],"type":"Rule","volume":77}