Personal Care Services which are offered under the waiver differ in service definition or provider type from the services offered under the North Carolina state plan. Under the waiver, Personal Care Services includes providing support, supervision and also engaging the person served to participate with eating, bathing, dressing, personal hygiene and other activities of daily living. Support and engaging the participation of the person served is non-habilitative and describes the flexibility of activities that may encourage the person served to maintain the skills they gained during their active treatment and/or habilitation while at the same time providing supervision for the independent activities of the person served. This service may (if specified in the Person Centered Plan/Person-centered plan) include the preparation of meals but does not include the cost of the meals themselves. Being able to engage the person served in utilizing skills acquired during active treatment and/or habilitation is key and may be provided outside of the individual’s residence.

Personal Care services may be provided in a licensed day facility if the Person Centered Plan/Person-centered plan clearly reflects significant physical limitations that require a primary focus on personal care needs in the licensed day setting.

The following housekeeping chores may also be included in Personal Care Services when it is specified in the Individual Service Plan: Bed making, dusting and vacuuming, which are secondary to the care furnished, or which are vital to the health and welfare of the person served, rather than to their family. Personal Care also includes monitoring health status and physical condition, assistance with transferring, ambulation and use of special mobility devices.