Personal Care Services under North Carolina State Medicaid Plan differs in service definition and provider type from the services offered under the waiver. Personal Care Services under the waiver include support, supervision and engaging participation with eating, bathing, dressing, personal hygiene and other activities of daily living. Support and engaging the individual describes the flexibility of activities that may encourage the individual to maintain skills gained during habilitation while also providing supervision for independent activities. This service may include preparation of meals, but does not include the cost of the meals themselves.
When specified in the ISP, this service may also include housekeeping chores such as bed making, dusting and vacuuming, which are incidental to the care furnished or which are essential to the health and welfare of the individual, rather than the individual’s family. Personal care also includes assistance with monitoring health status and physical condition, assistance with transferring, ambulation, and use of special mobility devices.
Personal Care Services may be provided outside of the private home as long as the outcomes are consistent with the support described in the ISP. Services may be allowed in the private home of the provider or staff of an employer of record if there is documentation in the ISP that the individual’s needs cannot be met in the individual’s private home or another community location. Transportation to or from the home of the provider or staff of an employer of record is not billable time. The Care Coordinator monitors waiver services in the home of the provider agency staff monthly. Monthly monitoring in the employee’s home by the Provider Agency, Agency With Choice or Employer of Record is required and documented in the individual’s file maintained by the Provider Agency, Agency With Choice or Employer of Record