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CSA Enterprise, Inc.
2nd Chance Rehab & Behavioral Service, Inc.
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Common Questions

What is CFC? 

CFC (Community First Choice) is a benefit program offering personal assistance and habilitation services. 

How can the CFC program help me?

CFC provides certain services and supports to individuals living in the community who are enrolled in the Medicaid program and meet CFC eligbility requirements. Services and supports may include:

  • Activities of daily living skills (eating, toileting, and grooming), activities related to living independently in the community, and health-related tasks (personal assistance services);
  • Maintenance and enhancement of skills necessary for the individuals to care for themselves and to live independently in the community (habilitation);
  • Providing a backup system or ways to ensure continuity of services and supports (emergency response services); and training people how to select, manage and dismiss their own attendants (support management).     
In Texas, CFC may be available to people enrolled in Medicaid, including those served by:

  • 1915 (c) waiver programs;
  • Medicaid managed care; and 
  • Personal care services for children of all ages. 

A number of benefits are available from participating in our program. Our staff can provide support, problem-solving skills, and strategies dealing with Medicaid/Medicare Benefits, medical and health issues, community resouces that may benefit you, and network of Health Care Providers. Many familly also find that our staff can be a tremendous asset to managing personal growth, interpersonal relationships, family and financial concerns, and the hassles of daily life. Our staff can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from our services depend on how well you use the process and put into practice what you learn.

  What our clients gain from our services:
  • Attaining a better understanding of your goals and values
  • Developing skills for improving self-esteem and self-image
  • Finding resolution to the issues or concerns that led you to this service
  • Providing the right resources for better health and MR services
  • Improving communications and listening skills
  • Improving self-esteem and boosting self-confidence

Do I really need this services?   
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced with your son/daughter/family member, there is nothing wrong with seeking out extra support when you need it. In fact, our services is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where your son/daughter/family member is in life with their disability and making a commitment to change the situation by obtaining our services. Our program provides long-lasting financial benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face and that of your son/daughter/family member. 

Why do people choose our program over other Providers?

People have many different motivations for coming to our program. In addition to getting accepted into the CFC, TxHmL, HCS program, some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling certain circumstances well about how HCS/TxHmL works for them. In addition to having these questions, some people need assistance managing a range of other issues such as finding quality staff, recommended dental services, Day Hab programs, quality therapies services and other services that are recommended. Our program can help provide some much needed encouragement and help with skills to get them through these periods.  Others may be at a point where they are ready to learn more about our extended services at no additional cost that is more effective with their goals in life.   In short, people seeking our services are ready to meet the challenges in their lives and ready to make changes in their lives. 
What is our program like?
Because each person has different issues and goals for personal growth, Our meetings will be different depending on the needs of the individual and family.  In general, you can expect to discuss the current events happening in your life or
client's life, your personal history relevant to your disability, and report progress (or any new insights gained) from a current Psychological Evaluation (DMR) and .  Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development.  Either way, it is most common to schedule regular sessions with your therapist (usually weekly).
It is important to understand that you will get more results from therapy if you actively participate in the process.  The ultimate purpose of therapy is to help you bring what you learn in session back into your life.  Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process - such as reading a pertinent book, journaling on specific topics, noting particular behaviors or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives and take responsibility for their lives.   
What about medication vs. behavioral therapy?  
It is well established that the long-term solution to mental and emotional problems and the pain they cause can not be solved solely by medication. Instead of just treating the symptom, Our program offers behavioral services tht addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness.  Working with your medical doctor you can determine what's best for you, and in some cases a combination of medication and therapy is the right course of action. 
How do I get services through our CFC program? Do you take insurance, and how does that work?
To determine if you qualify for CFC you may contact your Medicaid Provider (Molina, Superior, Cigna, or Amerigroup). We do not accetp personal insurance but we do accept Medicaid insurance in most cases. Most individuals may be already signed up through LIDDA (Local Intellectual and developmental disability authority). Its important to check your coverage carefully and make sure you understand their answers.  Some helpful questions you can ask LIDDA/HHSC/Medicaid:
  • What are my Medicaid health benefits?
  • How do I qualify for CFC services?
  • How do I qualify for HCS/TxHmL program?
  • Can I have personal insurance and Medicare?
  • Is approval required from my primary care physician? 
To learn more information about these program, please contact us at 214-295-5246.