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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

In-Home Care

NOTE: INFORMATION ON THIS PAGE EXPIRED ON DECEMBER 31, 2012. FOR INQUIRES REGARDING THIS SERVICE PLEASE VISIT THE PERSONAL CARE SERVICES PAGE AT http://www.ncdhhs.gov/dma/pcs/pas.html OR CALL 919-855-4340.

 

DMA Clinical Policy and Programs
Phone Number 919-855-4360
Fax 919-715-2628

In-Home Care for Adults (IHCA) and In-Home Care for Children (IHCC) cover the services of a paraprofessional 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 do not include skilled medical or skilled nursing care.

Individuals must be referred for IHC by a primary care or attending physician or by the physician who is providing treatment for the medical condition causing the person's need for personal care. 

DMA has contracted with the Carolinas Center for Medical Excellence (CCME) to conduct independent assessments for IHCA and IHCC. Additional information is available on the IHC Independent Assessment website. Questions may be directed to the CCME Independent Assessment Help Line at 1-800-228-3365 or by e-mail to IHCAssessment@thecarolinascenter.org.

For service requirements, coverage criteria and limitations, refer to Clinical Coverage Policy #3E, In-Home Care for Adults and Clinical Coverage Policy #3F, In-Home Care for Children.

On December 8, 2011, a federal court judge issued an order that prohibited the Division of Medical Assistance (DMA) from implementing Clinical Coverage policy 3E, which was the policy for the In-Home Care for Adults (IHCA) program that went into effect on June 1, 2011. Subsequently, on March 6, 2012, a U.S. Court of Appeals issued a stay of the December 8, 2011 order. As a result, IHCA Policy 3E [link to http://www.ncdhhs.gov/dma/mp/3E.pdf] is in effect with its original effective date of June 1, 2011.

Medicaid Bulletins
For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.

IHC Forms
Refer to CCME's Independent Assessment website for referral forms, IHC training resources, and frequently asked questions.
To see forms that apply to all providers, please visit our Provider Forms page.

 

 

 

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