Skip to main content
An official website of the State of North Carolina An official website of NC How you know

State Government websites value user privacy. To learn more, view our full privacy policy.

Secure websites use HTTPS certificates. A lock icon or https:// means you’ve safely connected to the official website.

Utility Menu
  • NCDHHS COVID-19
  • NC.GOV
  • AGENCIES
  • JOBS
Home

Main menu

  • Assistance
    • Assistance
    • ADA and Civil Rights Grievance Procedure
    • Division of Aging
    • Assistive Technology
    • Children's Services
    • Deaf-Blind Services
    • Disability Services
    • Guardianship
    • Hearing Loss
    • Low-Income Services
    • Medicaid
    • Mental Health And Substance Use Disorders
    • Nondiscrimination and Accessibility Requirements
    • North Carolina Reproductive Health Services
    • Unemployment Services
    • Veteran's Services
    • Vision Loss
    • Vital Records
    • Disaster Preparation
    • Disaster Recovery Health and Safety
    • Hurricane Dorian Recovery
    • Hurricane Florence Recovery
    • Hurricane Helene Recovery Resources
  • Divisions
    • Divisions
    • Aging
    • Child and Family Well-Being
    • Child Development And Early Education
    • Disability Determination Services
    • Employment and Independence for People with Disabilities
    • Health Benefits (NC Medicaid)
    • Health Service Regulation
    • Mental Health, Developmental Disabilities and Substance Use Services
    • Office of Economic Opportunity
    • Office of Health Equity
    • Office of Rural Health
    • Public Health
    • Services for the Blind
    • Services for the Deaf and Hard of Hearing (DSDHH)
    • Social Services
    • State Operated Healthcare Facilities
  • Providers
    • Providers
    • Licensure
    • Provider Information
    • LME-MCO Directory
    • Policies, Manuals and Forms
  • News
    • News
    • Press Releases
    • Media Contacts
    • Events
    • Newsletter Articles
    • Follow NCDHHS on Social Media
  • About
    • About
    • Administrative Offices
    • Data Dashboards, Action Plans/White Papers
    • Department Initiatives
    • DHHS Mission, Vision, Values and Goals
    • Directives
    • Grant Opportunities
    • Leadership
    • Overview
    • Priority Goals
  • Contact
    • Contact
    • Division Contacts
    • Hotlines
    • Report Fraud
    • Vendor Resources

Utility Menu

  • NCDHHS COVID-19
  • NC.GOV
  • AGENCIES
  • JOBS
  1. Home
  2. Social Services
  3. Special Assistance
  4. State and County Special Assistance for Adult Care Home Residents

Special Assistance In-Home Case Management Manual

SA/IH provides a choice to those who are eligible for care in a licensed residential care facility but who desire to, and can safely remain in a PLA, by providing them with financial assistance and case management services.

 

Documents

  • SAIH Appendix A state county special asistance flow sheet
  • SAIHCM AppB
  • SAIHCM AppC
  • SAIHCM AppD
  • SAIHCM AppE 9 2019
  • SAIHCM AppF7 2017
  • APENDIX G SA IH Slot Req 2017
  • SAIHCM AppK
  • Appendix M Adult Services Functional Assessment Tool DAAS 6220
  • Appendix N Adult Services Reassessment DAAS 6224
  • Appendix l 1 Instructions 08 2107
  • Appendix l 2 SAIH economic worksheet 08 2017
On This Page Jump Links
Off

Side Nav

  • State and County Special Assistance for Adult Care Home Residents
    • SA/SCU Program Information
    • Special Assistance In-Home Active and Average Active Cases
    • Special Assistance In-Home Case Management Manual

Contact Information

NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2000

Customer Service Center: 1-800-662-7030
Visit RelayNC for information about TTY services.

Follow Us

Network Menu

  • Employee Directory
  • nc.gov
  • Website Feedback
  • Accessibility
  • Disclaimer & Terms of Use
  • Privacy Policy
  • Open Budget
Hosted on Digital Commons