Starting an HCBS Agency in North Carolina

What You Need to Know About Starting a Specific HCBS Agency in North Carolina


These videos give an overview of the various Home and Community-Based Services (HCBS) available in North Carolina for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in North Carolina. Explore each section to find the service that best matches your goals or area of interest.

Respite Care

Respite Care Services in North Carolina provide short-term, temporary relief for primary caregivers of individuals with disabilities, chronic illnesses, or age-related conditions. These services ensure that the individual continues to receive quality care while allowing caregivers to take a break from their duties. Respite Care Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Residential Habilitation

Residential Support Services in North Carolina help individuals with disabilities, mental health challenges, or chronic conditions live independently or semi-independently within community settings. These services include assistance with daily living, health monitoring, and community integration, fostering independence and quality of life. Residential Support Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Supported Employment

Supported Employment Services in North Carolina assist individuals with disabilities or mental health challenges in obtaining and retaining competitive employment. These services offer individualized support, job training, and on-the-job assistance to foster long-term employment success. Supported Employment Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Personal Assistance

Personal Assistance Services in North Carolina help individuals with disabilities, chronic illnesses, or age-related challenges by providing hands-on support with daily living activities. These services are essential for maintaining independence and ensuring safety within home and community settings. Personal Assistance Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Vehicle Modification

Vehicle Modification Services in North Carolina help individuals with disabilities or mobility challenges by providing vehicle adaptations that enhance independence and safety. These services include evaluating individual needs, acquiring adaptive equipment, and customizing vehicles for safe use. Vehicle Modification Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Natural Supports Education

Natural Supports Education Services in North Carolina assist individuals with disabilities and their families in identifying, building, and utilizing community-based support systems. These services focus on fostering independence through education and training, enhancing the individual’s ability to leverage natural supports within their community. Natural Supports Education Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Supported Living

Supported Living Services in North Carolina help individuals with disabilities or chronic conditions live independently in their own homes or community-based settings. These services include assistance with daily living tasks, personal care, and community engagement to promote self-sufficiency and integration. Supported Living Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Individual Goods & Services

Individual Goods and Services in North Carolina assist individuals with disabilities or chronic conditions by providing essential items and services that support independence, well-being, and community integration. These services are tailored to meet unique needs and preferences, offering practical solutions to daily challenges. Individual Goods and Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Assistive Technology

Assistive Technology Services in North Carolina help individuals with disabilities or chronic conditions improve their independence and quality of life by providing technology-based solutions. These services support daily living, communication, mobility, and environmental control. Assistive Technology Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Specialized Therapies

Specialized Therapies Services in North Carolina provide targeted therapeutic interventions for individuals with disabilities, chronic conditions, or mental health challenges. These services include a range of therapies tailored to meet unique needs, focusing on improving function, independence, and quality of life. Specialized Therapies Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Home Modification

Home Modification Services in North Carolina assist individuals with disabilities or mobility challenges by providing physical adaptations to their living environments. These modifications enhance safety, independence, and comfort, allowing individuals to remain in their homes and participate in community life. Home Modification Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Community Transition

Community Transition Services in North Carolina assist individuals moving from institutional settings, such as nursing homes or long-term care facilities, to community-based living arrangements. These services provide essential support during the transition, including housing assistance, personal care setup, and community integration. Community Transition Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Community Living & Supports

Community Living and Support Services in North Carolina assist individuals with disabilities or chronic conditions in maintaining independence within their community. These services offer assistance with daily living activities, skill development, and community integration to enhance quality of life. Community Living and Support Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Day Supports Services

Day Support Services in North Carolina assist individuals with disabilities or chronic conditions by offering structured day programs that promote socialization, skill building, and community involvement. These services are designed to enhance independence, personal development, and quality of life. Day Support Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Crisis Intervention

Crisis Intervention Services in North Carolina assist individuals experiencing mental health or behavioral crises by offering immediate, short-term support to stabilize the situation and ensure safety. These services are critical for preventing escalation, addressing acute needs, and linking individuals to ongoing support. Crisis Intervention Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Adult Health Transportation

Non-Medical Transportation Services in North Carolina help individuals with disabilities, chronic conditions, or age-related challenges access essential community services, employment, social activities, and other non-medical destinations. These services are crucial for maintaining independence and active community participation. Non-Medical Transportation Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Home Health

Home Health Care Services in North Carolina provide medical and personal care to individuals in their homes, allowing them to manage chronic conditions, recover from illness, or maintain independence. These services are essential for individuals who prefer to receive care at home rather than in a healthcare facility. Home Health Care Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Meal & Nutrition

Meal and Nutrition Services in North Carolina assist individuals with disabilities, chronic conditions, or age-related challenges by providing access to nutritious meals, dietary planning, and nutritional education. These services support health maintenance, chronic condition management, and enhanced quality of life. Meal and Nutrition Services are authorized under North Carolina Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.