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Details for Service Personal Care Services
Service Name Personal Care Services Program Name At-Risk Family Health and Safety Benefits
Goal Provide outreach, support and services to individuals and families identified as being at risk of compromised health and safety to eliminate or reduce those risks.
Objective Assure that families at risk of economic challenges receive health and safety benefits to mitigate those risks.
Division Division of Health Benefits
Service Description

Personal Care Services (PCS) include a range of hands-on human assistance provided to persons of all ages with disabilities and chronic conditions to enable them to accomplish tasks that they would ordinarily do for themselves if they were not disabled. The services are primarily provided by a paraprofessional aide in a person’s home and include assistance with common activities of daily living (ADLs) such as eating, dressing, bathing, toileting, and mobility.  Services are provided on a scheduled and intermittent basis to supplement other community services and the care, assistance, and support provided by the recipient’s family and other informal caregivers.

 

Medicaid in-home PCS does not require the recipient to meet Medicaid nursing facility level of care requirements to participate and are generally not adequate in scope and amount to replace facility-based services for recipients who require ongoing care, supervision, or monitoring by a nurse or other health care professional. This program is appropriate for recipients whose needs for assistance can be safely met in the home by family members and other informal caregivers supported by scheduled visits by specially trained PCS aides.

Personal Care Services are optional.  Medicaid's Early Periodic Screening, Diagnosis and Treatment (EPSDT) program requires that states offer these services, if medically necessary, to children up to age 21.
Web Site http://www.ncdhhs.gov/dma/ Year First Initiated 1986
Available State Wide Yes Geographic Area Served
Grants Provided No Competitive Bidding No
Competitive Bidding Details
Waiting List No Waiting List Start Date
Number Waiting
Waiting List Details

Income Eligibility
Income Eligibility Yes
Income Eligibility Method Eligibility for Medicaid is determined by the county departments of social services (DSS) and the Social Security Administration (SSA) for Supplemental Security Income (SSI) recipients. 200% FPL - MIC children under age 6 185% FPL - MPW 133% FPL - MIC children age 1-5 100% FPL - MIC children 6-18, MAD, MAA, MAB 150% FPL -HCWD MAF-CN, HSF Categorically Needy: 1 person - $362 2 - $472 3 - $544 4 - $594 5 - $648 MAF, MAD, MAA, MAB Medically Needy: 1 person - $242 2 - $317 3 - $367 4 - $400 5 - $433
Income Eligibility Type Earned income such as: wages, self-employment Unearned income such as: RSDI, unemployment, VA, retirement, child/spousal support, worker's compensation, etc.
Whose Income Eligibility Individual on the Medicaid case + financially responsible individuals in the home - (Parent for child under age 21 or spouse).
Income Disregard Yes
Income Disregard Desc Earned Income Disregards: MAA, MAD, MAB: $65 + 1/2 remainder MAF-C - 27-1/2% MAF-N/M, MIC, MPW, HSF: $90 + child/adult care up to $175/200 Unearned income disregards: MAA, MAD, MAB: $20 general exclusion, 1/3 child support MAF, MIC, MPW, HSF: $50 of child/spousal support Work expense exclusion for the blind: MAB, HCWD Impairment related work expense for the disabled - MAD, MAB, HCWD
Income Verified Yes
Income Verified Method Electronic match with ESC, SSA, wage stubs, verification from source of income, such as VA, employer, award letter, self-employment records
Income Criteria Federal and State Statutes are used as a base for setting income levels.
Income Eligibility Change 1/1/2006
Income Eligibility Method Prior To Change 185% MIC children less than 1 133% MIC children 1-5
Income Eligibility Other

Target Population
Age Range Start Age Range End
0 100+

Legal Authority
Authorization Level Authorization Type Citation
Federal Code of Federal Regulations 42 CFR Subpart C §484.36; 440.167
State Administrative Rules 10A NCAC 14B.0137; 10A NCAC 22G.0505; 10A NCAC 220.0120; 10A NCAC 220.0410; 10A NCAC 36.0403; 21 NCAC 36.0403

Budget Information
State Fiscal Year (SFY)
As of the month of
Authorized Budget Fiscal Year 2024 SFY 2023-2024 Year To Date Expenditures Balance
Salary and Fringes (1X) 0 0 0
Salary Other (1X) 0 0 0
Operating (2X-5X) 0 0 0
Contracts/Allocations (6X) 0 0 0
Reserves (7X) 0 0 0
Transfers (8X) 0 0 0
Total Requirements 0 0 0
Receipts-Federal 0 0 0
Receipts- Local receipts 0 0 0
Receipts- Other receipts 0 0 0
Total Receipts 0 0 0
General Fund Appropriations 0 0 0
Match
State Local Other
0 0 0
 
MOE
State Local
0 0
 
FTEs
0.00