Washington Community First Choice (CFC) Agency Policy Manual
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The Washington Community First Choice (CFC) Agency Policy Manual provides a comprehensive operational framework for agencies delivering personal care and community-based support services under the Community First Choice (CFC) program across Washington State. This manual aligns with the regulations established by the Washington State Department of Social and Health Services (DSHS), including the Aging and Long-Term Support Administration (ALTSA) and the Developmental Disabilities Administration (DDA), and complies with federal requirements under Section 1915(k) of the Social Security Act. The manual includes policies and procedures governing agency enrollment and compliance, participant eligibility and assessment using the Comprehensive Assessment Reporting Evaluation (CARE) tool, person-centered service planning, delivery of personal care, skills acquisition, backup systems, and health-related tasks, as well as environmental modifications and assistive technology when appropriate. It also addresses staff qualifications and training, participant rights and protections, service documentation and billing, incident reporting, emergency preparedness, and quality assurance. This manual emphasizes individualized, inclusive, and participant-directed services that enable individuals to remain in their homes and participate fully in community life. It supports autonomy, dignity, and choice in the delivery of essential long-term services and supports. This manual serves as a foundational resource for CFC providers in Washington, ensuring the delivery of high-quality, compliant, and person-centered care that promotes independence, well-being, and community integration.