Author: NC Medicaid Long-Term Services and Supports, (919)-855-4364
Effective May 1, 2019, beneficiaries requesting Personal Care Services must use the updated NC Medicaid-3051 Request for Independent Assessment for Personal Care Services Attestation of Medical Need Form. This form is a revision of the currently used NC Medicaid-3051 Form. The current form will be accepted by the Independent Assessment Entity through July 1, 2019.
Liberty Healthcare and NC Medicaid will provide training during Spring 2019 PCS Regional Training on the new form and the changes that are required for beneficiaries, practitioners, and providers submitting the form. Providers may register for training through the Liberty Healthcare Corp. of North Carolina Medicaid PCS Website.
Those with questions may contact Liberty Healthcare Corp. of North Carolina at 1-855-740-1400 or North Carolina Medicaid at 919-855-4360.