Personal Care Services
Personal care services (PCS) are provided to eligible beneficiaries to help them stay in their own homes and communities rather than live in institutional settings, such as nursing homes. These resources provide a broad understanding of PCS for providers and the problems that can arise when providing and billing these services. We explain personal care attendant (PCA) requirements, the differences between PCS and home health services, and how to avoid improper billing and payments.
Additional resources that are useful for state program integrity offices:
- Vulnerabilities and Mitigation Strategies in Medicaid Personal Care Services (PCS) (PDF)
Best practices to help states more effectively ensure beneficiary safety and prevent improper Medicaid payments in Medicaid Personal Care Services (PCS). (35 pages)
- FAQ on Allowability of Using NPIs for Medicaid PCAs (PDF) (4 pages)