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New York's Submitted CFC SPA


The Commissioner’s Advisory Group on CFC

This group was established in 2012 to advise New York State as it develops their State Plan Amendment (SPA). The group continued to meet until December 2013, when the SPA was submitted to CFC, at which point the group became the Development and Implementation Council, an advisory ground required by federal statute. Below is a link to the Department of Health’s CFC website, meeting presentations from the Commissioner’s Advisory Group can be found there.

Commissioner's Advisory Group


Response to New York's Home and Community Based Services Transition Plan 

In January of this year, the Centers of Medicare and Medicaid Services (CMS) released their final rule on Home and Community Based Services (HCBS). This rule, which took effect on March 17, 2014, establishes new requirements for HCBS for Medicaid funding for long-term services and supports (LTSS) and institutes new rules for what qualifies as a community-based residential settings. 

The goals of this rule are to prioritize the integration of people with disabilities into the community, enhance their quality of life, and to increase protections for individuals receiving services.  All states are required to assess their current service systems, determine which of their existing systems meet the new requirements, submit a transition plan, and ultimately comply with the new HCBS regulations within the next five years. New York released their Statewide Transition Plan in July of 2014. The paper linked below our direct response to the released plan.  


OPWDD released their HCBS Settings Transition Plan in early 2014, these comments are in response to that released plan. These comments are an abbreviated, OPWDD specific, version of our full comments submitted to the New York State Department of Health in response to the State’s Transition Plan.


CFC-TAP Presentations for Download


Advocacy Tools 


The following documents were created during the 2015 legislative session to demonstrate the need to pass the amendment to the Nurse Practice Act to allow for Advanced Home Health Aides to achieve full CFC implementation. These one pagers highlight the fiscal benefit to the State in passing AHHA legislation. They also demonstrate the practical benefits to people with disabilities, seniors, and their family members in creating this new class of Advanced Home Health Aide.


CFC-TAP developed a chart comparing New York’s proposed Advanced Home Health Aide policy with two other states, Texas and Oregon. View the chart here:


CFC-TAP collected personal stories from people in Senator LaValle’s district who are currently stuck in nursing homes due to the fact that they can not get the proper care at home without the creation of Advanced Home Health Aides. These individuals will be able to transition back into the community and live fuller, happier lives once AHHA legislation is passed. View their stories here:


NYAIL and CDR worked with a broad cross section of stakeholders throughout the 2015 legislative session in support of AHHA legislation. This sign on letter was sent to Senator LaValle to demonstrate the broad support and practical need for the State to create Advanced Home Health Aides.


The project’s experience has contributed to developing the groundwork for the next stage of national advocacy focused on community integration for people with disabilities and seniors. The Community Integration Act – landmark legislation soon to be introduced - creates a comprehensive solution to assuring the full integration of disabled people, including disabled seniors in the community. The Community Integration Act strengthens the ADA’s integration mandate in order to accelerate Olmstead implementation. Read more about the legislation here:


Support for this work was provided by the New York State Health Foundation (NYSHealth)