Community First Choice

Texas is planning to begin the Community First Choice program June 1, 2015.

What’s Community First Choice?

  • The “Community First Choice Option”  allows States to provide home and community-based attendant services and supports to eligible Medicaid re under their State Plan.
    • CFC is a Medicaid State Plan entitlement service and must be provided to those individuals that meet the eligibility criteria.
    • This State plan option was established under the Affordable Care Act of 2010. (Source:
    • This option provides states with a 6% increase in federal matching funds for Medicaid for these services. (Source: TxHHSC)

To be eligible for CFC services, an individual must:

  1. Be a child or an adult who is receiving Medicaid
  2. Require an institutional level of care (like required for CLASS, MDCP, or HCS)
    • A nursing facility
    • An institution of mental disease
    • An intermediate care facility for individuals with an intellectual disability or related condition

Why is this good news!?!

Individuals receiving Medicaid will be eligible to request habilitation (attendant care) through Community First Choice.

  • If the Medicaid recipient has traditional Medicaid, they will call the PCS Intake Line (1-888-276-0702) to request an assessment.
  • If the Medicaid recipient has STAR or STAR+Plus Medicaid, they will call their Managed Care Organization (MCO) to request Community First Choice.

For official information:


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