Asset 7

North Carolina

Services North Carolina

North Carolina Outreach


Support Solutions provides services in North Carolina through North Carolina Outreach (NCO), a local provider acquired by Support Solutions in 2013. NCO offers services under the Home and Community-Based waiver program called Innovations, or State-funded program. Participants in the Innovations program must meet criteria of intellectual disabilities and be Medicaid eligible.

North Carolina Outreach  is authorized to provide IDD services in Western North Carolina.

Service Area

We currently serve the following counties:

  • Ashe
  • Avery 
  • Buncombe
  • Haywood
  • Henderson
  • Madison
  • McDowell
  • Mitchell
  • Watauga
  • Yancey

Contact us to inquire about services in other counties.

Accessing North Carolina Waiver Services

Intellectual/Developmental Disability Services

Individuals in need of intellectual/developmental disability services may call the Vaya Health Access Line (1-800-849-6127) and receive a telephonic screening to determine the nature of the individual’s needs and offer the individual a choice of appropriate treatment providers. Every attempt will be made to schedule an initial appointment with the chosen provider.

Private Treatment Provider

Individuals may seek services directly from a local treatment provider of their choice from Vaya Health’s Provider Network. To determine eligibility and register for services, either the provider or Vaya Health will conduct a brief interview (in person or over the telephone) to get necessary information and to link with the caller’s choice of provider.

Department of Social Services

Individuals and families working with the Department of Social Services (DSS) may be referred for intellectual/developmental disability services. Screening and assessment for Work First, Child Protective Services or other referrals will be arranged by DSS staff.

Health Care Providers

Individuals often discuss their need for intellectual/developmental disability services with their Primary Care Physician or other health care provider. Such medical care providers may offer advice about the type of services they recommend, and may refer individuals to specific Vaya Health Network Providers or to Vaya Health (1-800-849-6127) to obtain an appointment for services. Persons in immediate life threatening emergencies should go to the nearest hospital Emergency Department or call 911. However, for non-life-threatening crises or emergencies, callers may call Vaya Health (1-800-849-6127) to receive urgent or emergency services. Vaya Health has contracted Mobile Crisis Service providers in each county that can see individuals rapidly in a safe setting in the community.

Alternative Family Living

Alternative Family Living (AFL) service is a residential service provided in the primary residence of an AFL provider (couple or single person) who receives reimbursement for the cost of care. Reimbursement rates vary according to the support needs of the individual. No more than three participants may reside in one AFL home. Settings supporting two or three individuals, or any setting supporting a child, must be licensed by the State of North Carolina. Persons residing in an AFL home are not eligible for certain periodic service of Community Living and Supports. Respite services are available on a case-by-case basis.

Community Living and Supports

The goal of this individualized service is to increase or maintain the person’s life skills or provide the supervision needed to empower the person to live in the home of his/her family or natural supports, maximize his/her self-sufficiency, increase self- determination and enhance the person’s opportunity to have full membership in his/her community.

Supported Employment Services provide assistance with choosing, acquiring, and maintaining a job for supported individuals age 16 or older for whom competitive employment has not been achieved and/or has been interrupted or intermittent.

Community Networking

Community Networking- Community Networking services provide individualized day activities that support the individual’s definition of a meaningful day in an integrated community setting. Services are designed to promote maximum participation in community life while developing natural supports within integrated settings.

Crisis Services

Crisis Services is a service to support waiver beneficiaries when crisis situations occur that present a threat to the beneficiary’s health and safety or the health and safety of others. Crisis Services is an immediate intervention available 24 hours per day, 7 days per week to support the person who is primarily responsible for the care of the beneficiary. Crisis Services is provided as an alternative to institutional placement or psychiatric hospitalization. Service authorization can be accessed by telephone or planned through the ISP to meet the needs of the beneficiary. Following service authorization, any needed modifications to the Individual Support Plan and Individual Budget will occur within five working days of the date of verbal service authorization.

Day Supports

Day Supports is primarily a group service that provides assistance to the individual with acquisition, retention, or improvement of self-help, socialization, and adaptive skills.  Day Supports are furnished in a non-residential setting, separate from the home or facility where the individual resides.


Respite services provide periodic support and relief to the primary caregiver(s) from the responsibility and stress of caring for the participant. Respite may include in and out-of-home services, inclusive of overnight, weekend care and family emergency care.

Specialized Consultation Services

Specialized Consultation Services provide expertise, training and technical assistance in a specialty area* to assist family members, support staff and other natural supports in assisting individuals with developmental disabilities. Under this model, family members and other paid/unpaid caregivers are trained by a certified, licensed, and/or registered professional, or qualified assistive technology professional to carry out therapeutic interventions, consistent with the Individual Support Plan.

Specialty areas include:

  • psychology
  • behavior intervention
  • speech therapy
  • therapeutic recreation
  • augmentative communication
  • assistive technology equipment
  • occupational therapy
  • physical therapy
  • nutrition

Supported Employment

Supported Employment Services provide assistance with choosing, acquiring, and maintaining a job for supported individuals age 16 or older for whom competitive employment has not been achieved and/or has been interrupted or intermittent.

To contact us via phone, please call the Main Office and state the name of the person you're trying to reach.