The Affordable Care Act created an optional state plan called Community First Choice (CFC) which will allow eligible individuals to access Personal Attendant Care (PCA) and other services and supports through self-direction.
Unlike DDS services and supports which can be denied based on available funding, CFC is an entitlement program for any Medicaid member who meets the “Institutional Level of Care” criteria. This includes all individuals who qualify for DDS services and supports.
Having said that, this program will not be the answer for all DDS families. In order to qualify for CFC you must be willing to self-direct services. This means you will need to hire and manage staff and you will not be able to receive residential supports through a community provider.