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Community First Choice (CFC) is a program that offers home and community-based attendant services and supports to children and adults with disabilities and special health care needs who receive STAR+PLUS Medicaid. It started in Texas in 2015.
The Texas Health and Human Services Community First Choice web page has more details on the program.
CFC offers support with activities of daily living (ADLs) and health-related tasks, services to help a person learn how to care for themselves, and backup systems to make sure there are no gaps in services.
CFC services include:
All CFC services happen in a home or community setting, not in an institution. Consumer Directed Services is a choice for certain CFC services. A person or family can pick, hire, fire and manage the people who give their child services.
To be able to get CFC services, a person must:
CFC is not a Medicaid waiver program, also called a 1915(c) waiver program. But people who are on an interest list for Medicaid waiver programs may also be able to get CFC services while waiting.
See our web pages on the Medicaid waiver programs to learn more about each one:
To learn more and begin to sign up your child for CFC services: