NON-INNOVATIONS ID/DD CONTINUUM OF CARE

​​​​​​​​​For those members who have intellectual disabilities and developmental disabilities but who do not have an NC Innovations Waiver slot, a wide range of service options are available which aim to provide support and habilitation in an effort to keep these members as community integrated as possible with help from their natural supports. The continuum is composed of the following supports and services:​


  • Universal Supports consist of assistance and interventions generally available to anyone through their existing connections within his or her community. Universal Supports include:

    • Natural Supports,  unpaid resources in the community that enhance and help sustain recovery. Examples are family members, governmental supports and non-profit community agencies.

    • Primary Medical Homes​, a front door for the full range of medical issues, including mental health issues.

    • Prevention services are most commonly provided in school settings, but can be available in other settings to assist with preventing behavioral health disorders diagnoses and/or preventing additional disability from existing diagnoses.
       
  • Basic Services for ID/DD members provide office-based assessments and testing to assist in determining the appropriate level of supports needed.

    • Psychological Testing, Licensed psychologist and psychological associates typically provide this service for those who need additional diagnostic and treatment recommendations and clarification after an initial assessment. There are a wide array of testing options available.
       
  • Support Services for non-Innovations ID/DD members include several services that are available under the NC Innovations Waiver. These have been developed to provide the greatest supports possible without an Innovations slot.

    • Community Guide provides support to members and planning teams that assist members in developing social networks and connections within the community. The purpose of the service is to promote self-determination, increase independence, and enhance the individual's ability to interact and contribute in the local community.

    • Community Transition offers one-time financial assistance for adult members that transition from a Developmental Center, Community ICF/IID Group Home, nursing facility, or another licensed living arrangement to a non-provider owned, private living arrangement where the individual is directly responsible for his or her own living expenses. The service is provided when the individual is unable to pay for non-routine expenses such as a security deposit; essential furnishings; and deposits for utility or service access such as telephone, heating, electricity, and water. The service does not provide financial assistance for on-going, routine expenses such as rent, phone bill, and electric bill.

    • Deinstitutionalization (b)(3) Service Array allows individuals who are moving from an ICF/IDD facility to a residential setting within the community to receive needed NC Innovations Waiver services without occupying a NC Innovations Waiver slot, because the service array is funded by 1915(b)(3) dollars.

    • Psychiatric Consultation provides psychiatric consultation by telephone directly to primary care providers to assist them in managing behavioral health conditions in that setting

    • Respite (Individual and Group): Respite provides periodic support and relief to the primary caregiver(s) for the responsibility and stress of caring for the member. The primary caregiver is the individual(s) with the responsibility of caring for the member who has the same primary residence as the member. This service enables the primary caregiver to meet or participate in planned or emergency events. Respite may include in-home or out-of-home services, including overnight and weekend care. Emergency care (family emergency based, not to include out of home crisis) or continuous care up to 10 consecutive days is also available.

    • Supported Employment services provide assistance with choosing, acquiring, and maintaining a job for individuals 16 years and older who have not been able to achieve competitive employment, or if competitive employment has been interrupted. Employment options reflect options available to individuals without disabilities, such as traditional employment or operating a microenterprise. Supported Employment allows for a continuum of activities necessary for employment from initial support, intermediate support, and long-term follow up support.

    • In-Home Skill Building helps the participant acquire skills that will increase the opportunities to enhance quality of life by maximizing independent functioning and community integration to enhance quality of life. The service also includes a caregiver training component to help the caregiver learn to effectively teach the participant.
       
  • Residential Services are state (non-Medicaid) funded, supervised living supports for those with intellectual disabilities who have substantial deficits in maintaining community integration with only their natural supports. Funding for ID/DD residential supports is very limited. Residential Supports range from low to moderate to high.
  • Crisis Services are designed to address acute symptom exacerbations for those with behavioral health disorders in an effort to either avert an inpatient crisis admission or to facilitate such an admission. Crisis Services range from brief interventions provided by the member's existing provider to intensive 24/7 stabilization and treatment provided in an inpatient setting. The only crisis intervention specifically designed for those with ID/DD diagnoses (non-Innovations) is NC START. The full range of crisis services can be found here.​