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NC Division of Medical Assistance |
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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
Phone Number 919-855-4360
Fax 919-715-2628
Personal Care Services-Plus (PCS-Plus) is an enhancement to the Personal Care Services (PCS) program. PCS-Plus is for recipients who have a qualifying medical condition and personal care needs that exceed the service limit for PCS. Services include assistance with personal care tasks such as bathing, toileting, ambulating, and monitoring vital signs. In addition, services such as housekeeping and home management tasks may be provided if they are essential to the personal care task(s) necessary for maintaining the recipient’s health.
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.
