Alternative Family Living is a residential service that allows an individual with intellectual or developmental disabilities to live in a home-based setting with an AFL provider who offers individualized support, supervision, and assistance with daily living activities. In North Carolina, AFL is included under the Residential Supports service of the NC Innovations Waiver.

The purpose of AFL is to help individuals: - Maintain or improve their daily living skills. - Develop greater independence and self-sufficiency. - Participate in community activities. - Exercise choice and self-determination. - Receive the supervision and assistance needed to maintain their health and safety.

Individuals who meet the applicable eligibility and service requirements may receive AFL through the NC Innovations Waiver. Eligibility is determined through the applicable Medicaid and waiver processes, including the individual's assessed needs and level-of-care requirements.

No. AFL is a home-based residential arrangement, while group homes are another type of residential setting. Both may fall under Residential Supports, but the specific living arrangement, provider responsibilities, and applicable requirements must be considered when determining whether a setting is appropriate for an individual.

Individuals should be supported in making choices about their living arrangements, consistent with their rights, needs, and applicable service requirements. The individual's preferences should be considered during person-centered planning and when reviewing whether an AFL placement continues to meet their needs.

An AFL provider is responsible for delivering the authorized supports identified in the individual's service plan. Responsibilities may include: - Providing supervision and assistance with activities of daily living. - Supporting the individual in developing and maintaining life skills. - Promoting independence and personal choice. - Supporting participation in community activities. - Following the individual's person-centered plan and applicable health and safety requirements. - Communicating with the individual's support team regarding changes in needs or circumstances.