North Carolina Natural Supports Education Agency Policy Manual
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The North Carolina Natural Supports Education Agency Policy Manual provides a comprehensive operational framework for agencies delivering Natural Supports Education (NSE) services to individuals with intellectual and developmental disabilities (I/DD) and their families 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 the requirements of the 1915(c) Innovations Waiver and other Home and Community-Based Services (HCBS) programs. The manual includes policies and procedures governing provider enrollment and credentialing, participant eligibility and referral, person- and family-centered planning, delivery of training and coaching to enhance the ability of unpaid caregivers, family members, and community supports to sustain long-term care and inclusion, staff qualifications and training, participant rights and protections, documentation and billing practices, incident reporting, and quality assurance. Natural Supports Education services are designed to build the skills, confidence, and capacity of a person’s natural support system, empowering families and communities to foster independence, community integration, and stability without reliance solely on formal services. This manual serves as a foundational resource for Natural Supports Education providers in North Carolina, ensuring the delivery of high-quality, compliant, and meaningful educational services that strengthen the support networks surrounding each individual.