Personal Care Services Booklet - CMS

Personal care Services preventing Medicaid Improper Payments for Personal care Services preventing Medicaid Improper Payments for Personal care Services2 Content Summary Medicaid Personal care Services (PCS) are valuable, and the need for them is growing.[1] When States offer PCS to Medicaid beneficiaries, States facilitate beneficiaries staying in their homes and communities, which helps control Medicaid spending for long-term Services and supports. PCS are typically provided as an optional benefit under individual State Medicaid programs, and PCS coverage and payment rules can vary greatly among Medicaid programs. Such variation can be confusing for PCS providers.

Preventing Medicaid Improper Paments for Personal Care Services 5 . Medicaid PCS must be distinguished from home health aide services provided through . either the Medicare or Medicaid home health benefit. The next section explains the difference between the two types of services and how they are billed.[28, 29, 30] Providers

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