North Carolina Community Transition Agency Policy Manual
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The North Carolina Community Transition Agency Policy Manual provides a comprehensive operational framework for agencies supporting individuals transitioning from institutional or congregate care settings—such as nursing homes or intermediate care facilities—into community-based living across the State of North Carolina. This manual aligns with the regulations established by the North Carolina Department of Health and Human Services (NCDHHS), including the Division of Aging and Adult Services (DAAS), the Division of Medical Assistance (NC Medicaid), and the Money Follows the Person (MFP) program. It also complies with federal Home and Community-Based Services (HCBS) waiver requirements and Centers for Medicare & Medicaid Services (CMS) transition standards. The manual includes policies and procedures governing agency enrollment and credentialing, participant eligibility and referral processes, person-centered transition planning, housing search and tenancy support, procurement of household goods and services, coordination with case managers and service providers, staff qualifications and training, participant rights and protections, documentation and billing practices, incident reporting, risk mitigation strategies, and quality assurance. It emphasizes individualized, person-driven planning to ensure safe, timely, and sustainable moves from institutional settings into the least restrictive, community-based environments that support autonomy and inclusion. This manual serves as a foundational resource for community transition providers in North Carolina, ensuring the delivery of high-quality, compliant, and empowering services that promote independent living and long-term community integration.