North Carolina Personal Assistance Agency Policy Manual

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The North Carolina Personal Assistance Agency Policy Manual provides a comprehensive operational framework for agencies delivering personal assistance services to individuals with disabilities, chronic health conditions, and age-related needs throughout 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 Medical Assistance (NC Medicaid), and complies with the requirements of Medicaid Home and Community-Based Services (HCBS) Waiver programs such as the Community Alternatives Program for Disabled Adults (CAP/DA) and the Innovations Waiver. The manual includes policies and procedures governing agency licensure and enrollment, participant eligibility and referral, person-centered planning, delivery of assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs), supervision and caregiver support, staff qualifications, training, and supervision, participant rights and protections, infection control, emergency preparedness, documentation and billing, incident reporting, and continuous quality assurance. It emphasizes consumer-directed and agency-directed service models that promote dignity, autonomy, and safety, enabling individuals to remain in their homes and communities with the appropriate level of support. This manual serves as a foundational resource for personal assistance providers in North Carolina, ensuring the delivery of high-quality, compliant, and person-centered services that foster independence and improve quality of life.