PCS
ABBREVIATIONS
CHANGE OF STATUS
EXPEDITED
200
A PROGRAM DESIGNED TO PROVIDE PERSONAL CARE SERVICES FOR QUALIFYING INDIVIDUALS THAT NEED ASSISTANCE IN THEIR DAILY LIVING ACTIVITIES.
WHAT IS PCS?
200
CIAE stands for
What is Comprehensive Independent Assessment Entity?
200
BENEFICIARY LOCATION HAS CHANGED
WHAT IS NON-MEDICAL STATUS?
200
The provisional hours for expedited request
WHAT IS UP TO 60 HOURS
400
EATING, BATHING, DRESSING, TOILETING, MOBILITY
WHAT IS ADL'S OR ACTIVITY DAILY LIVING?
400
The acronym for Medicaid LTSS
What is Medicaid LONG TERM SERVICES & SUPPORT
400
BENEFICIARY PHYSICAL HEALTH IS DECLINING AND NEED A INCREASE IN HOURS
WHAT IS CHANGE OF MEDICAL STATUS?
400
IF THE EXPEDITED REQUEST IS APPROVED THIS ASSESSMENT IS COMPLETED OVER THE PHONE
WHAT IS MINI ASSESSMENT
600
Designed to support care relationships and strengthen the capacity of the persons carer to maintain their role
What is Respite Care?
600
PASRR stands for
What is Pre-Admission Screening and Resident Review
600
BENEFICIARY FELL AND BROKE HIS LEG
WHAT IS A CHANGE OF MEDICAL STATUS?
600
A BENEFICIARY RECEIVING APPROVAL THROUGH EXPEDITED ASSESSMENT PROCESS SERVICES ARE AUTHORIZED WITHIN.
WHAT IS 2 BUSINESS DAYS OF COMPLETED REQUEST
800
You must be currently receiving what benefit to be eligible for PCS services
What is Medicaid?
800
EPSDT stands for
Early and Periodic Screening, Diagnostic, and treatment
800
CHANGE IN DAYS OF NEED CAN BE SUBMITTED BY BENEFICIARY
WHAT IS NON- MEDICAL STATUS?
800
WHAT THE 6 MAIN PCS MAIN STEPS
1. PCS New Request
2. Scheduling the Assessment
3. Performing the Assessment
4. Provider Selection and Acceptance
5. Assessment review
6. Provider Acceptance and Notification
1000
The following form is required to be completed by your primary care provider
What is DMA-3051 PCS Request Service Form?
1000
When a(n) agency takes over the ownership of another existing agency.
- Enrolled into NC tracks for NPI
- Then registered into QiRePort
- Once enrolled contact CIAE (KePro) (Comprehensive Independent Assessment Entity)
- Completed DMA 3051 for COP request
1000
A PCS PROVIDER HAS SUBMITTED THIS REQUEST DUE TO CHOW PROCESS
WHAT IS CHANGE OF PROVIDER
1000
THE REQUEST MUST BE SUBMITTED BY WHO
WHAT IS HOSPITAL DISCHARGED PLANNER, SKILLED NURSING FACILITY DISCHARGE PLANNER, APS WORKER OR LME-MCO TRANSITION COORDINATOR