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A specifically designed care plan for individuals enrolled in the HCS/TxHmL Program.

Mother and son with down syndromeThe community first choice service component is the provision of assistance and support necessary for an individual who is enrolled in the HCS/TxHmL program to perform personal care, health maintenance, and independent living tasks, participate in community activities, and develop, retain, and improve community living skills. This program is designed to enhance quality of life by making daily tasks more manageable while promoting independence and social engagement.

What Sets Our Community First Choice Apart
Ever felt overwhelmed by the day-to-day responsibilities of managing personal care, health routines, and household tasks? CFC is designed to ease that load. What makes our approach different is the focus on the whole person, not just their immediate care needs. We understand that living well involves more than physical support. It’s also about feeling connected to your community, staying active, and building skills that allow for more independence.

As part of the broader network of our home community-based services in Texas, Community First Choice is grounded in the principle of supporting individuals where they feel most comfortable—at home. These services are person-centered, meaning individuals have a say in how their care is delivered. Our support is not one-size-fits-all. Whether it’s helping with grooming and hygiene, organizing medications, or encouraging participation in community outings, our care is designed to promote both dignity and autonomy.

How Our Community First Choice Help You

  • Help With Daily Activities
    From bathing and dressing to eating and toileting, CFC provides hands-on support to help individuals manage everyday tasks with confidence.
  • Health Maintenance Assistance
    Need help managing medications, monitoring health conditions, or attending doctor appointments? CFC includes support that promotes health and safety.
  • Support for Independent Living
    Tasks like preparing meals, light housekeeping, and transportation are easier to manage with assistance, helping individuals live more independently at home.
  • Community Participation
    Want to attend a community event, take a class, or just get outside? CFC encourages involvement in local activities, which can improve mental and emotional well-being.
  • Skill Building for Greater Independence
    Whether it’s learning how to handle finances or use public transportation, CFC helps individuals retain and strengthen essential life skills.

Frequently Asked Questions (FAQs)

Who qualifies for Community First Choice services?
CFC is available to individuals who are Medicaid-eligible and meet specific functional needs, typically those who require institutional-level care but choose to live in the community.

Are services provided in the home or in a facility?
Services are provided in the individual’s home or community, not in a nursing facility. The goal is to help individuals remain in a home-like environment.

Can family members serve as caregivers under this program?
In many cases, yes. Certain states and programs allow trained family members to provide care and receive compensation, depending on eligibility and training requirements.

Is there a limit to the number of hours of support provided?
The number of service hours is determined based on the individual’s assessment and needs. A personalized care plan outlines the level of support.

What types of skills can be developed through this service?
Participants can build a range of skills, including cooking, using public transit, managing money, and social interaction—anything that supports a more independent lifestyle.

Get the Care You Deserve Today!
Reach out now to discover personalized home-based services that make life easier, safer, and more comfortable. We’re here to help— contact us today!