Find & Ask › North Carolina › this rule

NC Medicaid Clinical Coverage Policy 3L, Personal Care Services (PCS), Section 7.10 - Supervision

North Carolinasub-regulatoryNorth Carolina Department of Health and Human Services, Division of Health Benefits (NC Medicaid)

What this rule requires your agency to do

  • 1The RN Supervisor must confirm that the in-home aide is present or has been present as scheduled during the preceding 90 calendar days and evaluate the aide's performance. (3L Section 7.10(b))(NC Medicaid Clinical Coverage Policy 3L, Personal Care Services (PCS), Section 7.10 - Supervision)
  • 2The provider must furnish qualified supervision ensuring PCS services comply with policy, state and federal regulations, and agency procedures. (3L Section 7.10(a))(NC Medicaid Clinical Coverage Policy 3L, Personal Care Services (PCS), Section 7.10 - Supervision)
  • 3The provider must conduct an RN Supervisor visit to each beneficiary's primary private residence every 90 calendar days (with a seven-day grace period). (3L Section 7.10(b))(NC Medicaid Clinical Coverage Policy 3L, Personal Care Services (PCS), Section 7.10 - Supervision)
  • 4The RN Supervisor must validate aide service records for accuracy, plan implementation, deviations, dates, times, and weekly sign-offs. (3L Section 7.10(b))(NC Medicaid Clinical Coverage Policy 3L, Personal Care Services (PCS), Section 7.10 - Supervision)
  • 5The RN Supervisor must identify changes in the beneficiary's condition requiring reassessment and identify safety risks in the residence during the supervisory visit. (3L Section 7.10(b))(NC Medicaid Clinical Coverage Policy 3L, Personal Care Services (PCS), Section 7.10 - Supervision)
  • 6The provider must ensure that at least two of the RN supervisory visits within each 365 calendar days occur when the in-home aide is scheduled to be present. (3L Section 7.10(b))(NC Medicaid Clinical Coverage Policy 3L, Personal Care Services (PCS), Section 7.10 - Supervision)

Applies to: personal care / in-home aide services

NC Medicaid Clinical Coverage Policy 3L, Section 7.10 requires PCS providers to furnish qualified supervision and to conduct RN supervisory visits to each beneficiary's primary private residence every 90 calendar days, with at least two visits within 365 days occurring while the aide is present.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.