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Things to Know About CFC and the CDS Option

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Introduction

CFC is a state plan benefit, governed by Code of Federal Regulations (CFR), Title 42, Chapter IV, Subchapter C, Part 441, Subpart K, regarding Home and Community-Based Attendant Services and Supports State Plan Option (Community First Choice), that provides certain services and supports to individuals living in the community, including individuals in the HCS and TxHmL programs. CFC services are state plan services, not Medicaid waiver services.

Important Things to Know About CFC and the CDS Option

  1. The CFC benefit offers CFC personal assistance services (PAS), CFC Habilitation (HAB), CFC emergency response services (ERS), and CFC support management services.

  2. For HCS and TxHmL, the CFC services of PAS and HAB are combined into one CFC service, CFC PAS/HAB, which is considered to be the same service as supported home living (SHL) in HCS and community support (CS) in TxHmL.

  3. All of the tasks and activities delivered through SHL or CS will be delivered through CFC PAS/HAB.

  4. ERS will be provided through CFC ERS, not as an adaptive aid, and is not available through the CDS option.

  5. The reimbursement rate for CFC CDS PAS/HAB will be the same as the current CDS HCS SHL and CDS TxHmL CS reimbursement rates.

  6. The CFC FMS rate will be the same as the HCS and TxHmL FMS rate.

  7. Individuals receiving host home/companion care, supervised living, or residential support will

    not receive CFC PAS/HAB or CFC ERS.

  8. Service provider qualifications have been expanded to allow for qualified service providers to

    live in the same home as the individual receiving CFC PAS/HAB.

  9. CFC PAS/HAB and CFC ERS will not be included in the calculation of the individual’s

    individual plan of care (IPC) cost for the HCS and TxHmL Programs.

  10. Individuals in the HCS and TxHmL Programs will not receive personal assistance services

    through the HHSC Medicaid benefit of personal care services (PCS). Personal assistance services will be provided by CFC PAS/HAB. Services currently provided to individuals through PCS will be transitioned over to CFC PAS/HAB through the waiver. More information about the transition of PCS to CFC PAS/HAB will be provided at a later date.

  11. Individuals in the TxHmL Program will not receive personal assistance services through Primary Home Care (PHC). Personal assistance services will be provided by CFC PAS/HAB. More information about the transition of PHC to CFC PAS/HAB will be provided at a later date.

  12. Criminal history checks for employees hired to provide CFC CDS PAS/HAB will be paid for by the FMSA FMS fee. The cost will not be paid for from the CDS employer budget.

  13. CDS employers will have the option to use support consultation as an employer support.

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