Personal Care Services

Personal Care Services (PCS) provides personal care services 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).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

Eligibility

These services benefit individuals who require assistance with activities of daily living (ADLs), including:

  • Eating
  • Dressing
  • Bathing
  • Toileting
  • Mobility

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
  • Two ADLs, one of which requires extensive assistance
  • Two ADLs, one of which requires assistance at the full dependence level

PCS program eligibility is determined by an independent assessment conducted by the Division of Medical Assistance (DMA) or its designee, and is provided according to an individualized care plan.

Fee Schedules

Clinical Coverage Policy 3L

PCS Provider Manual 

Reconsideration Request for Initial Authorization for PCS

PCS Stakeholder Group

Join the PCS Stakeholder Group, find meeting information or request a topic for discussion

PCS Spring Provider Trainings

PCS Spring Provider Trainings

Webinars

"Assessing the Eating Needs of PCS Beneficiaries"

Pettigrew v. Brajer

Other Resources

ACH PASRR Manual for facilities licensed under GS § 131D – 2.4. Transition to Community Living Initiative: Diversion Process

Liberty Healthcare Training Resources

PCS Revised Payment Adjustment Webinar (NC Session Law 2013-306)

SPA 13-009: NC Session Law 2013-306 Webinar presentation

Preadmission Screening and Annual Resident Review Verification (PASRR)

Forms

Liberty Healthcare Forms

Adult Care Home FL-2

ICD-10 Transition Form (DMA 3137)

ICD-10 Transition Form (DMA 3137) Instructions

Internal Quality Improvement Program Attestation Form (DMA 3136)

Internal Quality Improvement Program Attestation Form (DMA 3136) Instructions

Request for Services Form - DMA 3051

Request for Services Form Instructions - DMA 3051

Session Law 2013-306 PCS Training Attestation Form - 3085

Session Law 2013-306 PCS Training Attestation Form Instructions - DMA 3085

Adult Care Home Personal Care Physician Authorization and Care Plan Form

Adult Care Home Personal Care Physician Authorization and Care Plan

Contacts

Liberty Healthcare Corporation-NC

Medical Assistance Clinical Section
Phone: 919-855-4360
Email: PCS_Program_Questions@dhhs.nc.gov