Day Supports (Group, Individual, & Developmental Day) – Innovations

​​​For full service definition information link here to the Clinical Coverage Policy​ 

Day Supports is primarily a group service that provides assistance to the participant with acquisition, retention, or improvement in self-help, socialization, and adaptive skills. Day Supports are furnished in a non-residential setting, separate from the home or facility where the participant resides. Day Supports focus on enabling the participant to attain or maintain his or her maximum functional level and is coordinated with any physical, occupational, or speech therapies listed in the Individual Support Plan. Day Supports may include prevocational activities, but it does not include vocational activities.

Intended Population

  • This is a service offered under the NC Innovations Waiver. This service is available to any NC Innovations waiver participant that received provider directed services and needs support to acquire, retain, or improve self-help, socialization, and adaptive skills outside his or her residence. 

Best Practices


  • Core Expected Outcomes

  • Improvement in CQL Personal Outcomes Measures

  • Transition from Day Supports Individual to Day Su​pports Group when Day Supports Individual is medically necessary

  • Transition to services intended to maximize community integration such as Community Networking or Supported Employment

  • Transition from paid supports to natural supports

Management Approach

  • Core Management Strategies

  • For individuals under Benchmarks, Day Supports are subject to the Limits on Sets of Services as specified in the service definition.

  • For individuals under Support Needs Matrix, Day Supports is subject to the amount to a person's Support Needs Category Budget as specified service definition.

  • Providers will be monitored through clinical review activities that focus on utilization patterns and clinical appropriateness of service.​