First Choice services include:
Assistant Services (PAS): assistance with ADLs and IADLs
through hands-on assistance, supervision, and/or cueing.
(HAB): acquisition, maintenance, and enhancement of
skills necessary for the individual to accomplish ADLs, IADLs, and health-related
response services (ERS): backup systems and supports
to ensure continuity of services and supports. Backup systems and supports
include electronic devices to ensure continuity of services and supports
and are available for individuals who live alone, who are alone for
significant parts of the day, or have no regular caregiver for extended
periods of time, and who would otherwise require extensive routine supervision.
Management: voluntary training on how to select, manage,
and dismiss attendants. This is a voluntary service that offers practical
skills training and assistance related to recruiting, screening, hiring,
managing, and dismissing attendants.
Consultation: An optional service for those who use
the CDS option that is provided by a support advisor and provides a
level of assistance and training beyond that provided by the Financial
Management Services Agency (FMSA) through Financial Management Services
(FMS). Support consultation helps anemployer to meet the required employer
responsibilities of the CDS option and to successfully deliver program
PAS and HAB will be available
through the CDS option.
means basic personal everyday activities including, but not limited
to, tasks such as eating, toileting, grooming, dressing, bathing, and
means activities related to living independently in the community, including
but not limited to, meal planning and preparation, managing finances,
shopping for food, clothing, and other essential items, performing essential
household chores, communicating by phone or other media, and traveling
around and participating in the community.
All CFC services are provided
in a home or community-based setting, which does not include a nursing
facility, hospital providing long-term care services, institution for
mental disease, intermediate care facility for individuals with an intellectual
disability or related condition, or setting with the characteristics of
be eligible for Community First Choice services an individual must:
- Be a child or an adult
who is eligible for Medicaid.
- Meet an institutional level
of care, including:
- a nursing facility,
- an intermediate care
facility for individuals with an intellectual or developmental disability,
- an institution providing
psychiatric services for individuals under age 21, or
- an institution for mental
diseases for individuals age 65 or over.
- Need help with activities
and instrumental activities of daily living (ADLs and IADLs), such as
dressing, bathing and eating.
Texas began the Community First
Choice program on June 1, 2015. This means:
- Individuals on a 1915(c)
waiver interest list who meet eligibility and coverage requirements
may be eligible to get Community First Choice services.
- Individuals already getting
services through a 1915(c) waiver will continue to get those services
as they do today from their existing providers.
In order to access Community
First Choice services through The Harris Center for Mental Health and
IDD, you may contact (713) 970-7070.
You may also request Community
First Choice services through your Medicaid Managed Care Organization
United Healthcare 1-800-349-0550
Molina Healthcare 1-866-409-0039
Amerigroup 1-866-696-0710 ext36171
For help in selecting a CFC
a limit on the amount of CFC services individuals may receive?
There is not a defined annual cost limit for CFC. However, the amount
of CFC services an individual receives is based on an assessment of an
individual's need for the service and consideration of unmet needs as
developed by the service planning team, using a person-centered planning
Does CFC replace respite?
No. CFC does not replace respite. Respite will remain a service in the
waiver programs. Respite is not changing as part of this initiative. Respite
cannot be provided at the same time as CFC PAS/HAB.
Is there an interest
list for CFC or is it an "entitlement"?
No, there is not an interest list for CFC. CFC is a Medicaid State Plan
entitlement service and must be provided to those individuals that meet
the eligibility criteria. Individuals receiving services through the DADS
Intellectual and Developmental Disabilities (IDD) waivers who have an
identified need for CFC will receive these entitlement services through
their current IDD waiver provider.
For a list of all CFC frequently
asked questions, click here.