Medicaid Specialized Services at A Hand to Help Home Care are built for individuals and families who rely on North Carolina programs such as 1915(i), CAP/DA, and CAP/C and need a provider who truly understands how these services work in real life - not just on paper. Our nurse-led team works closely with case managers and families to turn authorizations into meaningful, day-to-day support.

Through Community Living and Support, we help adults and children build the skills they need to function more independently at home and in the community. That might include learning personal hygiene routines, following a daily schedule, managing money safely, using transportation, or practicing social skills in real-world settings. Every activity is tied back to the person's documented goals, so progress is clear and measurable.

Individual Support services offer one-on-one assistance for those with intellectual, developmental, or behavioral health needs who require a calm, consistent caregiver by their side. We focus on safety, structure, and predictability while encouraging choice and self-advocacy. Over time, this can reduce challenging behaviors, increase confidence, and give families a more stable home environment.

When habilitation is part of the plan, we integrate teaching into everyday moments - meal prep, housekeeping, self-care, communication - so each task becomes an opportunity to learn and practice. Our caregivers are trained to respect each person's pace and communication style, whether verbal or nonverbal.

Because we accept Medicaid and multiple managed care organizations, we can often continue services as needs change, without disrupting relationships or starting over with a new agency. Families gain a long-term partner who respects their loved one's abilities, honors their goals, and understands the paperwork and program requirements that come with these vital supports.