Community First Choice (CFC) / Personal Assistance Services (PAS)

The Community First Choice and Personal Assistance Services (PAS) Programs are programs designed to provide long term supportive care in a home setting. These programs enable thousands of elderly and disabled citizens to remain in their homes. The type of care authorized is tailored to each individual in a person centered manner and dependent upon their needs, living situation, and availability of caregivers.

Services available through the CFC/PAS Program include the Activities of Daily Living:

        • Bathing,
        • Dressing,
        • Grooming,
        • Toileting,
        • Eating,
        • Medication assistance,
        • Ambulation and exercising.
        • Medical escort is also available.

Under the PAS program there is additional time for limited grocery shopping, housekeeping and laundry. Under the CFC program there is also additional time for community integration, yard hazard removal for the purpose of providing safe access and entry to the home, correspondence assistance and personal emergency response system.

The CFC/PAS Program does not pay for tasks such as yard work other than authorized task to assure health and safety, household repair or modifications, major cleaning, shopping for non-essential items, escort to non-medical services, pet care, or general transportation. Some of these tasks are allowed through the waiver program depending upon an individual’s needs and required level of care.

Self-Direct Service Options

There two options under which CFC/PAS eligible individuals can choose to receive their services: Agency Based CFC/PAS (AB-CFC/PAS) or Self-Direct CFC/PAS (SD-CFC/PAS). The SD-CFC/PAS program was developed for individuals who wish to direct their own care. The person or their Personal Representative is responsible for hiring, training, and managing their Personal Care Attendants (PCA). Under the SD-CFC/PAS program only, individuals can be authorized by their health care professional to receive the above mentioned services provided by their personal care attendant as well as any of the following four skilled services: bowel program, catheter care, medication assistance, or wound care. Anytime a consumer chooses Self-Direct CFC/PAS, they must obtain authorization from their health care professional. The consumer or their personal representative must also meet capacity, which means they can demonstrate a thorough understanding of the program requirements.


Eligibility requirements for both AB-CFC/PAS and SD-CFC/PAS include:

            1. have a health condition that limits your ability to perform activities of daily living,
            2. participate in the screening process; and
            3. be eligible for full Medicaid.

In order to qualify for the CFC program a consumer must also meet level of care.

Eligibility Information and Member Services

For more information please contact:

Abby Holm, Program Manager, (406) 444-4564