 |
|
|
 |
NC Division of Medical Assistance |
|
|
|
Clinical Coverage Policies and Manuals
Proposed Medicaid Clinical Coverage Policies
Reporting a Change in Provider Status
NC Division of Health Service Regulation - How to License an Adult Care Home
DMA Clinical Policy and Programs
Phone Number 919-855-4340
Fax 919-715-2372
An adult care home (ACH) provides room and board and 24-hour supervision and services for people needing assistance with activities of daily living (ADLs) and some health care needs due to normal aging, a chronic illness, a cognitive disorder, or a disability. Adult care homes bridge the gap between independent living and nursing facility care that provides medical and nursing care in addition to help with ADLs. The adult care home is not a substitute for the nursing facility, but rather another level of care appropriate for those who cannot live by themselves and need assistance with bathing, dressing, ambulation, eating, toileting, and/or medication administration.
Adult care homes are assisted living facilities licensed by the Division of Health Service Regulation and enrolled by the Division of Medical Assistance as a provider of basic or enhanced personal care services and non-emergency medical transportation. Adult care homes for 2 to 6 beds are called family care homes. Nursing facilities and hospitals may have designated adult care home beds.
For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.
To see forms that apply to all providers, please visit our Provider Forms page.
