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Adult Services Section

North Carolina Division of Aging and Adult Services

 
 
Adult Care Home Case Management

Certain Medicaid eligible residents in adult care homes (rest homes) have extensive needs for personal care assistance and qualify for additional support by Medicaid for this purpose. The function of case management is to verify the need for this additional assistance and to assure that the resident's needs for personal care, as well as needs for other related health and social services are being met.

Case management services are provided by staff from County Departments of Social Services or Area Mental Health Agencies. Activities include:

  • Verifying the need for enhanced adult care home personal care
  • Assuring the adult care home's plan corresponds to the needs of the resident
  • Reviewing the provision of care to assure changes in the resident's conditions are being addressed
  • Determining the need for other community-based services
  • Assisting the resident and the adult care home in accessing other needed services

A client must be a resident in an adult care home and be eligible for Medicaid. In addition, the resident must meet Medicaid criteria as a heavy care resident. Current criteria are that a resident requires extensive or total assistance in ambulation/locomotion, toileting and/or feeding.

If you or someone you know need additional information, contact your county department of social services.

 

 

 

 

 

 

 

Last updated March 7, 2013

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