What is a Congregate Setting?

  • Adult Care Homes
  • Combination Homes
  • Special Care Units
  • Family Care Homes
  • Supervised living facilities for adults with mental illness or substance use disorders (MI/SA)
  • Supervised living facilities for adults with intellectual or developmental disabilities (I/DD)

Personal Care Services in a Congregate Setting

Personal Care Services (PCS) is a service that helps people with daily tasks like eating, getting dressed, taking a bath, using the bathroom and moving around. These services are given by trained helpers who work for licensed home care agencies or adult care homes.

PCS can be provided in a person’s own home or in a place where they live with help, like an adult care home.

To get PCS, a person must:

  • Have a NC Medicaid card
  • Have a medical condition, disability or memory problem
  • Need help with daily tasks

An assessment (an in-person visit done by NC Medicaid or someone they choose) is used to decide if someone can get PCS. A special plan is made for each person based on what they need.

To qualify, a person must need help with:

  • Three (3) out of five (5) daily tasks with some help), or
  • Two (2) daily tasks, and one (1) needs a lot of help, or
  • Two (2) daily tasks, and one (1) needs full help.

Additional Information

For more information about PCS services in a Congregate setting, please visit the NCLIFTSS webpage.

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This page was last modified on 11/04/2025