Intellectual & Developmental Disabilities

IDD Services

Individualized community supports, day programs, and employment assistance helping people with intellectual and developmental disabilities live full, connected lives.

What Are IDD Services?

IDD services support individuals with intellectual and developmental disabilities — including autism, cerebral palsy, Down syndrome, and other conditions — to achieve their personal goals, participate in community life, and develop skills for greater independence.

Carolinas Home Care Agency delivers IDD services through North Carolina's Innovations Waiver, which provides Medicaid funding for home and community-based supports outside of institutional settings.

Young girl with IDD participating in activities with CHCA support staff
What We Offer

IDD Support Services

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Community Living Supports

Assists with activities of daily living and personal care. Provides habilitation and skill building to enable the participant to acquire and maintain skills that support greater independence — including shopping, recreation, personal banking, and other community activities.

Ask about eligibility →
IDD day supports program activities
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Day Supports

A primarily group service providing assistance with the acquisition, retention, or improvement in self-help, socialization, and adaptive skills. Available for individuals 18 and older with an intellectual disability (including mental retardation, brain injury, Autism, or Cerebral Palsy) on the Innovations Waiver. Focuses on enabling participants to attain or maintain maximum functional level, coordinated with physical, occupational, or speech therapies in the Individual Support Plan.

Ask about eligibility →
Supported employment program for IDD individuals
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Supported Employment

Provides assistance with choosing, acquiring, developing, and initial job training for participants age 16 or older for whom competitive employment has not been achieved. Includes pre-job training, career counseling, job shadowing, resume preparation, interview skills coaching, study skills assistance, and on-the-job support for skill retention.

Ask about eligibility →
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Innovations Waiver Support

NC's Innovations Waiver provides Medicaid funding for home and community-based supports for individuals with intellectual and developmental disabilities. CHCA assists families in understanding eligibility, navigating the application process, and developing a person-centered service plan that maximizes available benefits.

Ask about the waiver →
In-home skill building for IDD individuals
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In-Home Skill Building

Provides habilitation and skill building to enable the participant to acquire and maintain skills which supports greater independence. Supports the consumer in increasing community living skills, such as shopping, recreation, personal banking, grocery shopping and other community activities. Also includes training in interpersonal skills and development and maintenance of personal relationships.

Ask about eligibility →
Developmental therapy for IDD individuals
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Developmental Therapy (DT)

A developmental disability service that includes the assessment, treatment, and instruction of individuals in acquiring activities of daily living skills that a client has not gained at normal developmental stages, or is not likely to develop socialization skills. Services include functionally related skills development (street signs, signatures, calculator use), training in prevocational areas (staying on task, safety, punctuality), and teaching recipients to access the community including recreation activities.

Ask about eligibility →
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Respite for IDD Families

Temporary relief for family caregivers of individuals with IDD — provided in-home or at a Medicaid-approved setting. Up to 576 hours annually. Gives primary caregivers time to rest and recharge while their loved one is safe and supported.

Ask about eligibility →

Who Qualifies?

Individuals with an intellectual or developmental disability diagnosis
Adults and children enrolled in or eligible for NC Medicaid
Innovations Waiver participants in our service area
Residents of Columbus, Robeson, Bladen, or Scotland County
Individuals whose support needs qualify for home/community-based services

How Is It Funded?

NC Medicaid Innovations Waiver
NC Medicaid Standard Plan (some services)
IPRS / Indigent Care (where applicable)
Private Pay (contact us for rates)

Questions About IDD Services?

Our team will help determine eligibility, explain the Innovations Waiver, and connect you with the right supports.