North Carolina Community Living & Supports Agency Policy Manual
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The North Carolina Community Living & Supports Agency Policy Manual provides a comprehensive operational framework for agencies delivering individualized, home and community-based services that support people with intellectual and developmental disabilities (I/DD), behavioral health needs, and other long-term support requirements across the State of North Carolina. This manual aligns with regulations established by the North Carolina Department of Health and Human Services (NCDHHS), including the Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS), and complies with Medicaid State Plan services, Innovations Waiver standards, and the 1915(i) HCBS benefit. The manual includes policies and procedures governing agency enrollment and approval, participant eligibility and assessment, person-centered service planning, delivery of supports for activities of daily living (ADLs) and instrumental activities of daily living (IADLs), community participation, skill development, supervision, and caregiver support. It also includes staff qualifications and training, participant rights and protections, documentation and billing procedures, incident reporting, emergency preparedness, and quality assurance. It emphasizes flexible, individualized service delivery that promotes independence, skill-building, inclusion, and meaningful engagement in community life—supporting people to live successfully in their own homes or with family. This manual serves as a foundational resource for Community Living & Supports providers in North Carolina, ensuring the delivery of high-quality, person-centered, and compliant services that empower individuals to thrive in the most integrated settings of their choice.