42 CFR §441.535
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
States must conduct a face-to-face assessment of the individual's needs, strengths, preferences, and goals for the services and supports provided under Community First Choice in accordance with the following:
- (a)States may use one or more processes and techniques to obtain information, including telemedicine, or other information technology medium, in lieu of a face-to-face assessment if the following conditions apply:
- (1)The health care professional(s) performing the assessment meet the provider qualifications defined by the State, including any additional qualifications or training requirements for the operation of required information technology;
- (2)The individual receives appropriate support during the assessment, including the use of any necessary on-site support-staff; and
- (3)The individual is provided the opportunity for an in-person assessment in lieu of one performed via telemedicine.
- (b)Assessment information supports the determination that an individual requires Community First Choice and also supports the development of the person-centered service plan and, if applicable, service budget.
- (c)The assessment of functional need must be conducted at least every 12 months, as needed when the individual's support needs or circumstances change significantly necessitating revisions to the person-centered service plan, and at the request of the individual.
- (d)Other requirements as determined by the Secretary.