Alpha Management Services, Inc. provides direct supports and services to people with intellectual and developmental disabilities (I/DD) that enable people to lead full rich lives in the community.

NC Innovation Waiver Services

The NC Innovations Waiver is a Home and Community-Based Services Waiver (HCBS Waiver) designed to meet the needs of Individuals with Intellectual or Development Disabilities (I/DD) who prefer to get long-term care services and supports in their home or community, rather than in an institutional setting. The Medicaid Innovations Waiver supports Individuals with I/DD to live the life they choose.

NC Innovations provides an array of community-based services and supports that provide a community-based alternative to institutional care and promote choice, control and community integration. Individuals on NC Innovations must meet eligibility criteria, including having or being eligible for Medicaid.

Alpha Management Services provide the following NC Innovation Waiver Services:

Community Living and Supports

Community Living and Support is an individualized service that enables an individual 16 years of age and older to live successfully in his/her own home, the home of his/her family or natural supports and be an active member of his/her community.

Community Networking

Community Networking services provide individualized day activities that support the waiver beneficiary’s definition of a meaningful day in an integrated community setting, with persons who are not disabled. If the beneficiary requires paid supports to participate / engage once connected with the activity, Community Networking can be used to refer and link the individual. This service is provided separate and apart from the beneficiary’s primary private residence, other residential living arrangement, and/or the home of a service provider.

Supported Living

Supported Living provides a flexible partnership that enables a person/s to live in their own home with support from an agency that provides individualized assistance in a home that is under the control and responsibility of the person/s. The service includes direct assistance as needed with activities of daily living, household chores essential to the health and safety of the individual/s, budget management, attending appointments, and interpersonal and social skills building to enable the individual to live in a home in the community.

Respite (Individual & Group)

Respite services provide periodic support and relief to the primary caregiver(s) from the responsibility and stress of caring for the individual. This service enables the primary caregiver to meet or participate in planned or emergency events, and to have planned time for him/her and/or family members.

Supported Employment

Supported Employment Individual is a service which involves arranging for and supporting paid work for an individual, age 16 or older, in a job which would otherwise be done by a nondisabled worker. The service includes intensive involvement of staff working with the individual in the work setting or in support of the individual so that the individual’s employment can be maintained in a normal community environment.

Residential Supports (Licensed and Unlicensed Alternative Family Living) 

Residential Supports provides individualized services and supports to enable a person to live successfully in a Group Home or Alternate Family Living (AFL) setting of their choice and be an active participant in his/her community. The intended outcome of the service is to increase or maintain the person’s life skills, is to increase or maintain the person’s life skills, provide the supervision needed, maximize his/her self-sufficiency, increase self- determination and ensure the person’s opportunity to have full membership in his/ her community

Innovation Crisis Response

To provide for intervention and stabilization for the member experiencing a crisis and the need for a higher level of care. To promote the prevention of a crisis through implementation of strategies to prevent further crisis. Can be used for out of home planned behavioral support.

Specialized Consultative Services

To support unique needs of members by providing expertise, training, and technical assistance in a specialty area (psychology, behavior intervention, speech therapy, therapeutic recreation, augmentative communication, assistive technology equipment, occupational therapy, physical therapy, nutrition, and other licensed professionals who possess experience with members with Intellectual / Developmental Disabilities) to assist family members, support staff and other natural supports in assisting members with developmental disabilities.

Alpha Management Services provide the following (B)(3) Services:


Respite services provide periodic support and relief to the primary caregiver(s) from the responsibility and stress of caring for children ages three to 21 with mental health, developmental disabilities or substance use/addiction service needs, and for adults 21 and over with developmental disabilities. Persons receiving this service must live in a non-licensed setting, with non-paid caregiver(s). This service enables the primary caregiver(s) to meet or participate in planned or emergency events, and to have planned time for him/her and/or family members. Respite may be utilized during school hours for sickness or injury. Respite may include in and out-of-home services, inclusive of overnight, weekend care, or emergency care (family emergency based, not to include out of home crisis). Respite may be provided in an individual or group setting. The primary caregiver is the person principally responsible for the care and supervision of the beneficiary and must maintain his/her primary residence at the same address as the beneficiary.

Individual Supports

Individual Supports Services are “hands-on” individualized assistance with everyday activities that are required by individuals with severe and persistent mental illness in order to live independently in the community.

Alpha Management Services provide the following State Funded Services:

Personal Assistance

Personal assistance services means a range of services provided by one or more persons designed to assist an individual with a disability to perform daily living activities on or off the job that the individual would typically perform without assistance if the individual did not have a disability. The services must be designed to increase the individual’s control in life and ability to perform everyday activities on or off the job. The services must be necessary to the achievement of an employment outcome and may be provided only while the individual is receiving other vocational rehabilitation services. The services may include training in managing, supervising, and directing personal assistance services.