North Carolina Specialized Therapies Agency Policy Manual
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The North Carolina Specialized Therapies Agency Policy Manual provides a comprehensive operational framework for agencies delivering therapeutic services—such as physical therapy, occupational therapy, speech-language pathology, and behavioral therapies—to individuals with developmental disabilities, traumatic injuries, chronic conditions, and other complex support 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 State Plan services, the 1915(c) Innovations Waiver, and other Home and Community-Based Services (HCBS) programs. The manual includes policies and procedures governing agency licensure and enrollment, participant eligibility and referral processes, comprehensive evaluations and treatment planning, delivery of goal-oriented therapeutic interventions, interdisciplinary collaboration, family and caregiver training, staff licensure and continuing education, participant rights and protections, emergency preparedness, documentation and billing procedures, incident reporting, and continuous quality assurance. It emphasizes person-centered, evidence-based therapies that promote functional independence, improve communication and mobility, support behavioral stability, and enhance participation in everyday life across home, school, and community settings. This manual serves as a foundational resource for specialized therapy providers in North Carolina, ensuring the delivery of high-quality, compliant, and individualized services that meet the unique goals and support needs of each participant.