The purpose of this information letter (IL) is to inform you about the impact of Community First Choice (CFC) benefits for individuals who are receiving Personal Care Services (PCS) through the Early and Periodic Screening, Diagnosis, and Treatment Comprehensive Care Program, a program administered by the Texas Health and Human Services Commission (HHSC), or through a managed care organization (MCO), and who are enrolled in one of the following 1915(c) Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) waiver program operated by the Texas Department of Aging and Disability Services (DADS):
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the HCS Program;
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the TxHmL Program;
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the CLASS Program; or
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the DBMD Program.
CFC Personal Assistance Services/Habilitation (PAS/HAB) replaced certain habilitation-type services in DADS ICF/IID waiver programs. CFC PAS/HAB includes all of the same habilitation services provided through the waivers and the personal assistance activities performed through PCS. As a result, and to prevent duplication of services on or after December 1, 2015, individuals receiving PCS will be required to receive CFC PAS/HAB from their waiver program providers. Individuals using the consumer directed services (CDS) option for their PCS will also receive CFC CDS PAS/HAB instead of CDS PCS.
An individual enrolled in a DADS ICF/IID waiver program must not receive PCS as specified in the Mutually Exclusive Services Chart, which has been updated to reflect this change and posted effective with the release of this letter. The chart can be located at (http://www.dads.state.tx.us/handbooks/appendix/res/apx12.pdf) and found in applicable program handbooks.
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