On February 15, 2017, the State of Texas released this report on the cost-effectiveness of community first choice in STAR+PLUS as required in Senate Bill 7, 83rd Legislature, Regular Session, 2013. This bill directed the Health and Human Services Commission (HHSC) to implement the most cost-effective option for the delivery of basic attendant and habilitation services to consumers with disabilities, including intellectual and developmental disabilities (IDD), and maximize federal funding. In June 2015, HHSC implemented Community First Choice (CFC), a Medicaid state plan benefit providing community-based long-term services and supports (LTSS) to Medicaid-eligible individuals . . .