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NC Division of Medical Assistance |
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Consolidated Personal Care Services (PCS)
Clinical Coverage Policies and Manuals
Proposed Medicaid Clinical Coverage Policies
Reporting a Change in Provider Status
DMA Clinical Policy and Programs
Phone Number 919-855-4360
Fax 919-715-2628
Personal care services (PCS) is a paraprofessional service that 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 service does not include skilled medical or skilled nursing care.
Individuals must be referred for PCS 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 PCS.
Independent assessment of personal care services (PCS) recipients was implemented on April 1, 2010. DMA has contracted with the Carolinas Center for Medical Excellence (CCME) 
to conduct the assessments.
Additional information is available on the PCS Independent Assessment website . Questions may be directed to the CCME Independent Assessment Help Line at 1-800-228-3365 or by e-mail to PCSAssessment@thecarolinascenter.org.
For service requirements, coverage criteria and limitations, refer to Clinical Coverage Policy #3C, Personal Care Services and PCS-Plus.(Terminated 5/31/11)
For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.
Refer to CCME's Independent Assessment website for referral forms and instructions for requesting change of status reviews.
To see forms that apply to all providers, please visit our Provider Forms page.
