Our built-in tools help you complete, sign, share, and store your documents in one place.
Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.

Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Go to your local Department of Social Services (DSS). To find yours, use this directory or call the NC Medicaid Contact Center at 1-888-245-0179. Walk-ins are available at all local offices. You can also call to schedule an in-person or phone interview (recommended). Bring these documents if you have them.
There are three ways to apply. Apply online with ePASS. You may need to create an account first. Apply in person at your Department of Social Services (DSS) office. Fill out as much of the paper application as possible ahead of time and take your documents with you. Apply by mail.
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.
The PCS program is designed to provide personal care services to qualifying individuals that need assistance in their effort to perform their activities of daily living that include bathing, dressing, mobility, toileting and eating.
To be considered, the individual's primary care or attending physician, physician assistant, or nurse practitioner must make the referral for the individual to be assessed for PCS using the Request for Independent Assessment for Personal Care Services Attestation of Medical Need Form (Form 3051).
To become a Home Care aide: You must be listed on the North Carolina Home Care Aide Specialty Training Registry as a Nurse Aide I. You must successfully complete a North Carolina state-approved Home Care Aide specialty training program.
Personal Care Services Program (PCS) Provides services such as housekeeping, meal preparation, bathing, toileting, and grooming.
Qualifications: Credentialed in NC with an unencumbered NC CNA Certificate and or The ideal caregiver should have at least 2 years of experience in the Health Care, Home Care, Nursing Home, Assistant Living, or Senior Living Industry.
Private hygiene tasks such as bathing, dressing, and grooming. Household chores and maintaining a clean, safe environment. Meal preparation and ensuring balanced, nutritious meals. Mobility support, including moving safely around the home.
Personal care is help with things like: bathing, showering, hair washing, shaving, brushing your teeth, and nail care. going to the toilet, catheter and stoma care, skin care, incontinence laundry and bed changing. eating, special diets, and food preparation.