WHAT IS PCS?
PCS is a Medicaid benefit that assists eligible clients who require assistance with activities of daily living (ADL's) and instumental activities of daily living (IADL's) because of a physical, cognitive or behavioral limitation related to their disability, physical or mental illness, or chronic condition.
Who is involved with PCS?
- HHSC has oversight and rule making authority.
- DSHS conducts the assesment and makes the determination of eligibility.
- TMHP is responsible for provider relations and claims processing.
Who can receive PCS?
Individuals who are:
- Younger than 21 years of age
- Enrolled with:
- Texas Medicaid Fee-for-Service (FSS),
- Primary Care Case Management (PCCM),
- STAR or STAR Health (for children in foster care)
- Have physical, cognitive, or behavioral limitations related to a disability, or chronic health condition that inhibits ability to accomplish ADL's and IADL's
ADL's and IADL's
Range of avtivities that healthy, non-disabled adults can perform themseves
*ADL's: activities of daily living
IADL's: instramental activities ofdaily living
ADL's
- Bathing
- Bed
- Mobility
- Dresing
- Eating
- Personal Hygiene
- Positioning and Transferring
- Toileting
IADL's
- Grocery shopping
- Cleaning
- Laundry
- Meal preperation
- Medication Assistance
- Transportation to Medical Appointments
Helpful Resources
- Respite Care Services Of Texas (956) 609-9059
- Texas Medicaid & Healthcare Partnership (TMHP)
- PCS Client Line 1-888-276-0702
- www.tmhp.com
- Texas Department of State Health Services
- www.dshs.state.tx.us
- HHSC
- www.hhsc.state.tx.us