Personal Care Services (PCS)

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About PCS

Personal Care Services or PCS assist members in need with everyday tasks like bathing, dressing, toileting, ambulation, meal prep and cleaning.

Personal Care Services (PCS) provides personal care services may be provided to  individuals residing in a:

  • Private living arrangement
  • Residential facility licensed by North Carolina as an adult care home
  • Combination home as defined in G.S. 131E-101(1a).
  • Group home licensed under Chapter 122C of the General Statutes and under 10A NCAC 27G.5601 as a supervised living facility for two or more adults whose primary diagnosis is mental illness, a developmental disability or substance abuse dependency

Eligibility

These services benefit individuals who require assistance with activities of daily living (ADLs), including:

  • Eating
  • Dressing
  • Bathing
  • Toileting
  • Mobility

To qualify for PCS, an individual must have a medical condition, disability or cognitive impairment, and demonstrates unmet needs for:

  • Three of the five ADLs with limited hands-on assistance
  • Two ADLs, one of which requires extensive assistance
  • Two ADLs, one of which requires assistance at the full dependence level

PCS program eligibility is determined by an independent assessment conducted by NC Medicaid or its designee, and is provided according to an individualized service plan. 

To request an independent assessment for a Trillium member, the physician caring for the member should complete Trillium’s 3051 Form. The completed form should be emailed to LTSS@trilliumnc.org.  

Questions about PCS

If you have questions about PCS you may call Trilliums’ Provider Support Service Line at 855-250-1539 or you can submit questions online at 

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