Adult Services Section

North Carolina Division of Aging and Adult Services

State-County Special Assistance (SA) provides a cash supplement to help low-income to help pay for room and board for individuals in residential facilities including adult care homes/assisted living, family care homes and group homes/supervised living. These residential facilities are unlike nursing homes in that medical care is not provided. Designated staff may administer medications and provide personal care services such as assistance with bathing, eating, and dressing.

To be eligible for SA, individuals must be age 65 or older or disabled and live in a residential facility approved for SA. The facility must agree to accept the state rate for SA residents. Medicaid is automatic for individuals who are eligible for SA.

Adult Care Home residents the diagnosis of Alzheimer’s Disease or a related disorder may reside in a licensed Special Care Unit in an Adult Care Home. The State-County Special Assistance program provides a different rate of assistance for Adult Care Home recipients who reside in a Special Care Unit.

A personal monthly allowance is provided for all recipients. From this, recipients purchase such items as soap, deodorant, snacks, certain medications and costs not covered by Medicaid, clothing, and hair cuts.

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.

To apply for State/County Special Assistance, please contact your county department of social services. For more information about the Special Assistance program please view our State/County Special Assistance for Adults Program Informational brochure.

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: May 16, 2013

What is Adult Services?

Facilities FAQ

SA Training Materials

SA Monitoring Plan

Procedures for Accessing Transition Funds

Certification Assessment Tool

Adult Care Home Resident Discharge Team

Establishment of the ACHRDT

• Meeting Log
• Referral Log
• Documentation Form
• Appendices
• IMD Transition-Tracking Log

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

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