North Carolina Day Supports Agency Policy Manual

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The North Carolina Day Supports Agency Policy Manual provides a comprehensive operational framework for agencies delivering day support services to individuals with intellectual and developmental disabilities (I/DD) 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 Mental Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS), and complies with Medicaid 1915(c) Innovations Waiver requirements and other Home and Community-Based Services (HCBS) standards. The manual includes policies and procedures governing agency enrollment and certification, participant eligibility and intake, person-centered planning, structured group and individual supports delivered in facility-based or community settings, skill-building in communication, socialization, self-care, and pre-vocational readiness, supervision and personal care as needed, transportation coordination, staff qualifications and training, participant rights and protections, health and safety protocols, emergency preparedness, documentation and billing, incident reporting, and quality assurance. It emphasizes meaningful day activities and community engagement opportunities that are tailored to individual strengths, preferences, and life goals, helping participants develop greater independence and social inclusion. This manual serves as a foundational resource for day supports providers in North Carolina, ensuring the delivery of high-quality, person-centered, and compliant services that promote self-determination, community participation, and a higher quality of life.