General Assembly Back: Medicaid PCS Issue is HOT

NC legislators are back at work as of noon today (January 30, 2013). The most pressing issue in Medicaid? Personal Care Services (PCS).

In 2012, when the Medicaid rules changed (The rules didn’t change in 2012. The rules were determined to change in 2013) as to who could receive PCS, thousands of adults receiving PCS in adult care homes, suddenly, did not meet the criteria for PCS. Thousands of Medicaid recipients would no longer receive PCS; therefore, many group homes would go bankrupt.

Just to show the great breadth of this problem: The Office of Administrative Hearings (OAH) received 15,000 appeals this month from Medicaid recipients no longer eligible to receive PCS.

Expect to see a bill with a fix to the group home issue in the House Appropriations Committee on Thursday.

About kemanuel

Medicare and Medicaid Regulatory Compliance Litigator

Posted on January 30, 2013, in DHHS, Group Homes, Health Care Providers and Services, Legislation, Medicaid, Medicaid Funds, North Carolina, OAH, Personal Care Services and tagged , , , , , , , . Bookmark the permalink. Leave a comment.

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