Adult Services Section

North Carolina Division of Aging and Adult Services

State-County Special Assistance for Adults (SA) provides a cash supplement to help low-income individuals residing in adult care homes (such as rest homes) pay for their care. Adult care homes are unlike nursing homes in that medical care is not provided by home staff. Designated staff may administer medications and provide personal care services such as assistance with bathing, eating, and dressing.

Adult Care Home residents with certain diagnoses may reside within a licensed Special Care Unit in an Adult Care Home. Effective October 1, 2005 the State-County Special Assistance program provides a different rate of cash assistance for Adult Care Home recipients who reside in a Special Care Unit for those diagnosed with Alzheimer’s or a related disorder.

A personal monthly allowance is provided for all recipients, in addition to a small exemption on any income. From this, recipients purchase such items as soap, deodorant, snacks, and medications, clothing, and hair cuts.

Aged and disabled adults in adult care homes receive their supplement from State/County Special Assistance. Adults and children who are visually impaired receive their supplement from Special Assistance for the Blind. Individuals who have extensive needs may receive case management.

Special Assistance is also available in some counties for the "certain disabled." These are adults between the ages of 19 and 65 who are living in their own homes, are unemployable because of an impairment, but have not been able to meet the Supplemental Security Income (SSI) disability requirement.

For more information about the Special Assistance program please view our State/County Special Assistance for Adults Program Informational brochure.

For more information about Special Assistance for residents in an Adult Care Home Special Care Unit, please view our SA/SCU Program Informational brochure.

For information on Special Assistance for adults who need ACH level of care who would like to remain at home please view the Special Assistance In-Home Program.

If you or someone you know requires these services, contact your county department of social services.

Last updated: July 27, 2011

What is Adult Services?

Facilities FAQ

SA Training Materials

SA Monitoring Plan

Adult Care Home Resident Discharge Team

Establishment of the ACHRDT

• Meeting Log
• Referral Log
• Documentation Form
• Appendices

What we do

• Adult Care Home Case Management
• Adult Placement Services
• Adult Programs Representatives
• Adult Protective Services
• At-Risk Case Management Services
• Foster Care Services for Adults
• Guardianship Services
• Health Support Services
• Individual and Family Adjustment Services
• Personal and Family Counseling
• State-County Special Assistance for Adults
• State-County Special Assistance for Adults
  In-Home Program
  
  
• Manuals On-Line
• Forms On-Line
• Dear County Director Letters

Inquiry/Feedback