Texas Medicaid and CHIP
Community First Choice
Senate Bill 7 from the 2013 Texas Legislature requires the Health and Human Services Commission (HHSC) to put in place a cost-effective option for attendant and habilitation services for people with disabilities who have STAR+PLUS Medicaid coverage.
A federal option, called Community First Choice, allows states to provide home and community-based attendant services and supports to Medicaid recipients with disabilities. This option provides states with a 6 percent increase in federal matching funds for Medicaid for these services.
Who can get Community First Choice services?
To be eligible for Community First Choice services an individual must:
- Be eligible for Medicaid.
- Need help with activities of daily living, such as dressing, bathing and eating.
- Need an institutional level of care.
Community First Choice Services
Community First Choice Services include:
- Help with activities of daily living and health-related tasks through hands-on assistance, supervision or cueing.
- Services to help the individual learn how to care for themselves.
- Backup systems or ways to ensure continuity of services and supports.
- Training on how to select, manage and dismiss attendants.
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.
For more information on selecting a provider for Community First Choice services, please click here.
- Community First Choice Provider Training (PDF)
- Community First Choice FAQs (PDF)
- Community First Choice Summary Tool (PDF)