{"data":{"id":"us/42-cfr-441.500","jurisdiction":"us","citation":"42 CFR 441.500","heading":"Basis and scope.","body":"(a) Basis. This subpart implements section 1915(k) of the Act, referred to as the Community First Choice option (hereafter Community First Choice), to provide home and community-based attendant services and supports through a State plan.\n(b) Scope. Community First Choice is designed to make available home and community-based attendant services and supports to eligible individuals, as needed, to assist in accomplishing activities of daily living (ADLs), instrumental activities of daily living (IADLs), and health-related tasks through hands-on assistance, supervision, or cueing.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 441—SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES","Subpart K—Home and Community-Based Attendant Services and Supports State Plan Option (Community First Choice)"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"a68ae1d1d2266fc9e965a4182648830bfe3a3cb98c3173a04fc0d2b996ea1c36","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-441.486","next":"us/42-cfr-441.505"},"notice":"GroundRules: Original legal text. Not legal advice."}