Special Assistance In-Home

An Alternative to Adult Care Homes Placement

Adults needing care in an adult care facility now have another option to consider. The Special Assistance In-Home Program offers ongoing case management and monthly cash payments to help individuals continue to live at homes safely. Adults who can have their health, safety and well-being maintained at home with appropriate services may benefit from this program. There are a limited number of slots available in Onslow County.


  • 65 and older or
  • Between the ages of 18-65 and disabled based on Social Security’s definition of disability.
  • A U.S. Citizen or legal alien and a North Carolina resident.
  • Income must be below the federal poverty level.
  • Individual must require care in a licensed adult care facility but desire to live at home or other private living setting.
  • Individual must be able to have health, safety and well-being maintained with appropriate services, such as in-home aide services, home modifications, case management services and needed supplies.
  • Eligibility is determined on a case by case basis.

For more information about Special Assistance In-Home and to request pre-screening for the program, please contact Onslow County Human Services Adult Services. Please call 910-219-1947 or 910-219-1913 for additional information.

Special Assistance In-Home Program Requirements

All Medicaid programs and community resources must be considered first in supporting your unmet health and safety needs in the community.

In order to meet case management requirements for the program, case managers are required to make contact with all clients at least monthly, conduct a face-to-face visit with the client at least quarterly, and conduct an annual assessment with the client and develop an Adult and Family Service Plan with the client and others involved with care and services for the client.

In order to meet financial requirements for the program, clients are required to account for all program funds by submitting receipts, money orders, statements and/or bills equal to the monthly check received that meet their basic unmet needs documented in the Adult and Family Service Plan or that meet basic unmet needs in emergency situations.

In addition, if your case manager cannot verify that you are using the authorized program funds for your unmet health and safety needs via paid bills and receipts on  your budget and service plan, your eligibility for the program may be terminated.

To ensure quality services, the case manager monitors the services the client is receiving through direct observation, client reports and review of provider services. When monitoring reveals a change in the client’s needs, situation or condition, case managers must consider changing the Adult and Family Service Plan.

Prescreen Process for Waiting List

Contact 910-219-1947 or 910-219-1913 to be placed on a waiting list.

Social worker will contact an applicant and/or responsible party to make an arrangement to conduct a pre-assessment screening at home (this screening is to determine eligibility for the waiting list only).

If determined eligible for the waiting list, then applicant’s name will be forwarded to Medicaid section. A letter will be sent within 7 days of completion of the initial assessment.

If not eligible for the waiting list, a letter will be sent within 7 days of completion of the initial assessment.