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Employment and Community First CHOICES Benefit Groups

The services a person in Employment and Community First CHOICES will receive depend on which benefit group they are in.  There are 5 benefit groups:

Essential Family Supports
(This is sometimes called “Group 4.”)

Family Support services are for families caring for a child under the age of 21 who has an intellectual or developmental disability (I/DD).  The child must live at home with their family (not a foster family). 

Adults age 21 with I/DD living at home with their family can also choose to enroll in this group if they qualify.  

Essential Supports for Employment and Independent Living
(This is sometimes called “Group 5.”)

Essential Support services are for adults age 21 and older who have an I/DD but don’t qualify for the level of care in a nursing home.

  • A person age 18-21 with I/DD may be enrolled in this group if they can’t live with their family anymore.
  • A person who would qualify to receive care in a nursing home can choose to enroll in this group if CHOICES Group 6 is full and their needs can be met with these services.

Comprehensive Supports for Employment and Community Living
 (This is sometimes called “Group 6.”)

These services are only for adults age 21 and older who would qualify to get care in a nursing home. (This doesn’t mean the person has to receive care in a nursing home.  This program provides services at home and in the community. They just need to qualify for nursing home care.)

  • A person age 18-21 with I/DD may be enrolled in this group if they can’t live with their family anymore.

Comprehensive Support services are for people who need more services to help them live in the community and achieve their employment and community living goals. 

Intensive Behavioral Family-Centered Treatment, Stabilization and Supports
(This is sometimes called “Group 7.”)

Intensive Behavioral Family-Centered Treatment, Stabilization, and Supports (IBFCTSS) is an integrated behavioral health and home and community-based services benefit group for individuals with intellectual and/or developmental disabilities who also have severe co-occurring behavioral health and/or psychiatric conditions that place the member or others at risk of serious harm and threatens the sustainability of the family living arrangement.

This group is for individuals under age 21 who are still living at home with family supports.

Intensive Behavioral Community Transition and Stabilization Services
(This is sometimes called “Group 8.”)

Intensive Behavioral Community Transition and Stabilization Services (IBCTSS) is an integrated benefit that combines generally short-term intensive 24/7 community-based residential services with behavioral health treatment and supports to assist certain adults aged 18 years and older with intellectual and/or developmental disabilities (I/DD) and severe behavioral and/or psychiatric conditions who are transitioning out of a highly structured and supervised environment to achieve and maintain stable, integrated lives in their communities.

Here is a complete list of services  covered in each benefit group, how they can help, and any limits.