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Tions Pages I. Special Assistance In-Home Program Purpose 1 II. Legal Basis for SA/IH Program 2 III. Who SA/IH Serves 3 IV. Program Overview 5 V. Definitions 7 VI. Program Administration and Operation A. B. C. D. VII. Locating Potential Clients Applying SA/IH Criteria Communication with Income Maintenance Slot Allocation, Authorization Numbers and Establishing a Waiting List 9 Referral to Adult Services Case Manager A. B. C. D. Critical Time Limits and Dates Number of SA/I.

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  3. Proceed to the eligibility section, where you will need to provide documentation verifying your age, income, and living arrangement. Gather supporting documents as required.
  4. Complete the assessment section by detailing your functional needs and support systems. This may require input from healthcare providers, family members, or caregivers.
  5. Next, navigate to the service plan portion of the form. Outline the services you require and how they align with your needs. Be as specific as possible regarding types of assistance needed.
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Related content

Special Assistance In-Home Case Management Manual
SA/IH provides a choice to those who are eligible for care in a licensed residential care...
Learn more
SAIHCM AppE | NCDHHS
SAIHCM AppE. SAIHCM_AppE.pdf. SA/IH Program Interagency Transmittal Form ... Contact...
Learn more
SA IN HOME PRE-SCREENING FORM Section 1
Physical address: City: Mailing address: Zip: Client has full CN Medicaid? YES NO...
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North Carolina has a federally mandated, state supervised, county administered social services system. This means the federal government authorizes national programs and a majority of the funding, and the state provides oversight and support.

Non-media inquiries should be directed to 919-855-4800.

Debbie Mauney - DSS Director - State of North Carolina | LinkedIn.

The Department of Health and Human Services manages the delivery of health- and human-related services for all North Carolinians, especially our most vulnerable citizens – children, elderly, disabled and low-income families.

Elizabeth Tilson - NC State Health Director/Chief Medical Officer NC DHHS - NC Department of Health and Human Services | LinkedIn.

Kody H. Kinsley serves as Secretary of the NC Department of Health and Human Services; appointed to the cabinet position by Governor Roy Cooper and unanimously confirmed by the North Carolina Senate.

Debbie Mauney - DSS Director - State of North Carolina | LinkedIn.

Kody H. Kinsley serves as Secretary of the NC Department of Health and Human Services; appointed to the cabinet position by Governor Roy Cooper and unanimously confirmed by the North Carolina Senate.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232