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Clinical Coverage Policies and Manuals
Proposed Medicaid Clinical Coverage Policies
Reporting a Change in Provider Status
DMA Clinical Policy and Programs
919-855-4360
Fax 919-715-2628
Personal Care Services (PCS) covers the services of an aide in the recipient’s private residence to assist with the recipient’s personal care needs that are directly linked to a medical condition. The services must be authorized by the recipient’s primary care physician, physician’s assistant, or nurse practitioner working under the supervision of the physician (as set forth in the licensing regulations of the North Carolina Boards of Medicine and Nursing). PCS is a paraprofessional service and does not include skilled medical or skilled nursing care.
For service requirements, coverage criteria and limitations, refer to Clinical Coverage Policy #3C, Personal Care Services
Additional information about personal care services is available:
Information about budget initiatives affecting personal care services is available on the Budget Initiatives web page.
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.
