Texas Health and Human Services Commission this spring will be offering a basic attendant and habilitation services through the STAR PLUS managed care program called Community First Choice (CFC).
- Basic Attendant Services: Assistance with activities of daily living (ADL) or instrumental activities of daily living (IADL) or health-related tasks.
- Habilitation services including the acquisition, maintenance and enhancement of skills necessary for the person to accomplish ADLs, IADL and health-related tasks.
- Backup systems or mechanisms to ensure continuity of services and supports.
- Voluntary training on how to select, manage and dismiss attendants.
Note: The Community First Choice program does not include room and board, special education, assistive devices, technology services, medical supplies, medical equipment or home modifications.
How It Works
The services must be both agency-based and self-directed. The self-direction service delivery model is an important aspect and key component of the CFC options.
- Must be eligible for Medicaid under an eligibility group covered by the state plan. This does not create a new eligibility group. Home and Community-based Services (HCS) and Texas Home Living (TxHmL) participants qualify.
- Requires states to develop procedures to limit duplicative services.
Assessment and Training
- Must conduct a face-to-face assessment of the person’s needs, strengths and preferences that supports the determination that the person needs attendant services and supports under Community First Choice.
- Development of a person-centered plan.
- If applicable, develop a service budget.
- Re-assessed at least every 12 months as the person’s needs or circumstances change significantly.
- The providers will include current HCS and TxHmL providers.
- MHMR Intellectual and Developmental Disability Authority (IDDA) will provide service coordination.