Personal Care Services
Dedicated to high-quality care and an efficient healthcare experience
At a Glance
Covered Personal Care Services include
Assistance to help
with qualifying ADL
Assistance with medications that
treat medical conditions that effect
the qualifying ADL
Assistance with devices directly
linked to the qualifying ADL
Services not approved under Personal Care Services (PCS) include:
- Skilled nursing by LPN or RN
- Respite care
- Care for pets or animals
- Yard work
- Medical or non-medical transportation
- Financial Management
- Errands
- Companion sitting
About Our Services
For eligible Medicaid beneficiaries, Personal Care Services (PCS) provides hands-on assistance, by paraprofessional aides, for the five qualifying activities of daily living (ADLs) which include eating, dressing, bathing, toileting, and mobility.
The amount of approved service is based on an assessment conducted by an independent assessment entity to determine the beneficiary’s ability to perform their ADLs.
PCS provides support to individuals residing in a:
- Private living arrangement
- Residential facility licensed by North Carolina as an adult care home
- Combination home as defined in G.S. 131E-101(1a)
- Group home licensed under Chapter 122C of the General Statutes and under 10A NCAC 27G.5601 as a supervised living facility for two or more adults whose primary diagnosis is mental illness, a developmental disability or substance abuse dependency
PCS Eligibility and Application
To qualify for PCS, an individual must have a medical condition, disability
or cognitive impairment, and demonstrates unmet needs for:
- Three of the five ADLs with limited hands-on assistance
- Three of the five ADLs with limited hands-on assistance
- Two ADLs, one of which requires assistance at the full dependence level
PCS program eligibility is determined by an independent assessment conducted by NC Medicaid or its designee, and is provided according to an individualized service plan.
To be considered, the individual’s primary care or attending physician, physician assistant, or nurse practitioner must make the referral for the individual to be assessed for PCS using the Request for Independent Assessment for Personal Care Services Attestation of Medical Need Form (Form 3051). Acentra will review the form and schedule an assessment.
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