North Carolina Respite Care Agency Policy Manual
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The North Carolina Respite Care Agency Policy Manual provides a comprehensive operational framework for agencies delivering respite care services to individuals with intellectual and developmental disabilities (I/DD), chronic health conditions, or aging-related needs—and their caregivers—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 the Division of Medical Assistance (NC Medicaid). It complies with applicable Medicaid Home and Community-Based Services (HCBS) Waiver programs such as the Innovations Waiver and the Community Alternatives Program for Children and Adults (CAP/C, CAP/DA). The manual includes policies and procedures governing provider enrollment and approval, participant and caregiver eligibility, person-centered planning and service authorization, provision of in-home and out-of-home respite services, emergency and planned respite options, staff qualifications and training, health and safety protocols, infection control, participant rights and protections, documentation and billing, incident reporting, and ongoing quality assurance. It emphasizes flexible, person- and family-centered relief options designed to prevent caregiver burnout, support family stability, and ensure continuity of care in a safe and supportive environment for the individual receiving services. This manual serves as a foundational resource for respite care providers in North Carolina, ensuring the delivery of high-quality, compliant, and compassionate services that strengthen caregiving relationships and promote long-term community living.