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Medicaid Personal Care Services

Personal care services (PCS) are categorized as a range of human assistance provided to persons with disabilities and chronic conditions to enable them to accomplish activities of daily living or instrumental activities of daily living. PCS assists people enrolled in Medicaid with activities of daily living and helps them remain in their homes and communities. Examples of PCS include bathing, dressing, light housework, money management, meal preparation, and transportation. Prior OIG reviews identified significant problems with States' compliance with PCS requirements. Some reviews also showed that program safeguards intended to ensure medical necessity, patient safety, and quality, and prevent improper payments were often ineffective. We will determine whether PCS claims complied with Federal and State requirements.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
November 2024 Centers for Medicare and Medicaid Services Medicaid Personal Care Services Office of Audit Services W-00-19-31536 2025