The primary purpose of the North Carolina Innovations Waiver is to provide individuals a cost-effective alternative to institutional care. This is done by providing a wide array of services to support the individual in the community, from employment training to in-home services for someone with a developmental disability. A Individual Service Plan (ISP) is developed by the consumer, guardian, Care Coordinator and other team members, including the Qualified Professional from HomeCare Management Corporation. HomeCare employees provide a complete range of home and community-based services: In Home Skill Building, Personal Care, Supported Employment, Caregiver Training and Education, Specialized Consultative Services, and Respite.

In Home Skill Building provide flexible, individually-tailored supports and assistance designed to help the individual learn, maintain, or improve skills in areas that directly affect the ability to reside as independently as possible. It is goal-driven. The supports that may be furnished may include training in:

  • Self-Care: Daily activities that enable the person to meet basic life needs such as food, hygiene, appearance, and health.
  • Independent Living: Activities that enable the individual to participate in a full and varied life in the community, including things such as meal preparation, home management, community resource utilization, and self-administration of medication.
  • Mobility: Activities that enable a person to move from one place to another in the home and community. This may include work on gross motor skills, fine motor skills, transfers, independent travel skills, and use of public transportation.
  • Socialization: Activities that enable a person to acquire new behaviors, improve socialization skills, increase confidence in interacting with others, promote generalization of skills, and prevent regression of skills developed.
  • Self-Direction: Activities that enable a person to manage and control his or her personal life; the individual learns skills such as decision-making, initiation and follow-through of appointments, and self-protection.

Personal Care includes assistance with eating, bathing, dressing, personal hygiene, and activities of daily living. This service may include assistance with preparation of meals and may also include such housekeeping chores as bed making, dusting, and vacuuming which are incidental to the care furnished or which are essential to the health and welfare of the individual, rather than the individual’s family.

Respite is a service that provides periodic relief for a family or primary caregiver. This service may be used to meet a wide range of needs, including family emergencies; planned special circumstances (such as vacations, hospitalizations of the person’s non-paid caregiver, or business trips); relief from the daily responsibility and stress of caring for a special needs person; or time for the caregiver(s) to shop or run errands. Respite may be provided for only a few hours or overnight, depending upon the needs of the family.

Supported Employment is paid employment for persons with developmental disabilities for whom competitive employment at or above minimum wage is unlikely and who, because of the severity of their disabilities, need intensive ongoing support to perform successfully in a work environment. Supported Employment is conducted in a variety of settings, particularly work sites in which persons without disabilities are employed; working in these types of settings help clients to increase self-esteem and improve socialization skills.

Caregiver Training and Education provides training and counseling services for the families of individuals served through Innovations. The purpose of this service is to enhance the decision-making capacity of the family, provide information about the nature and impact of the developmental disability upon the family, provide information about community integration options and strategies, provide training on individualized interventions, and instruct family members and caretakers on specialized equipment and supplies.

Specialized Consultative Services provide expertise, training, and technical assistance in a specialty area to assist family members and caregivers meet special needs of individuals with developmental disabilities. Specialty areas include psychology, behavioral analysis, therapeutic recreation, speech therapy, occupational therapy, physical therapy, and nutrition