North Carolina

DHHS Division of Health Service Regulation (DHSR); DMH/DD/SAS Called a adult care home, family care home, or supervised living here

North Carolina is a primary target for us. The DHHS Division of Health Service Regulation licenses adult care and family care homes, and DMH/DD/SAS oversees behavioral health and I/DD residential services — together they cover most of who we are building for. Placements are coordinated through the state's LME/MCO Tailored Plans (Trillium, Partners, Alliance, Vaya).

No home is open in North Carolina yet. We are still bringing homes online here. If you need help right now, these are the numbers to call today — or put a name on the waiting list so we reach out as places open.

Refer someone in North Carolina

Case managers, discharge planners, and families can send us someone who needs a place. We'll add them to the waiting list and follow up as homes open.

Refer someone

Who licenses this work in North Carolina

DHHS Division of Health Service Regulation (DHSR); DMH/DD/SAS. Any provider operating here should be able to give you a licence number issued by them, and you can check it against the state's own register. A provider who will not show you that is one to walk away from. North Carolina's official licensing page →

What it is called here

In North Carolina this kind of home is usually called a adult care home, family care home, or supervised living. The word matters when you are searching — families regularly conclude nothing exists near them because they searched the term used in a different state. The full list of state terms is here.

How it is paid for

Most residential support is funded through the NC Innovations Waiver (for I/DD) or the TBI Waiver, administered through the LME/MCO for the person's county. The waiver pays for the support, never for room and board, which comes from the resident's own income.

How Medicaid waivers work · How to get on the waiting list

Who we are being built for in North Carolina

Small, permanent homes for adults who need daily support but not a hospital or a nursing floor: people with intellectual or developmental disabilities, people managing a behavioral-health condition, veterans, people leaving a hospital or treatment with nowhere safe to go, and young people ageing out of foster care.

Who takes hard-to-place referrals in North Carolina?

That is specifically who Mai Heaven is being built for — a history of refusals, a behaviour plan, a guardianship question, or a mix of diagnoses that does not fit one funding stream. Put the person on the waiting list and we reach out the day a home opens near you. For an immediate need, these are the numbers to call now. To refer, use the referral page.

Where we are working in North Carolina

Anson County

Exploring

Beaufort County

Exploring

Bladen County

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Cleveland County

Exploring

Columbus County

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Cumberland County

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Durham County

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Edgecombe County

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Forsyth County

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Guilford County

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Halifax County

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Hyde County

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McDowell County

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Mecklenburg County

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Richmond County

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Robeson County

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Rutherford County

Exploring

Scotland County

Exploring

Tyrrell County

Exploring

Vance County

Exploring

Wake County

Exploring

Washington County

Exploring

Common questions families ask

What a supported home costs, what the levels of care mean, how to qualify for disability housing, whether Medicaid pays, and how a supported home differs from assisted living — answered straight:

Hear when a home opens in North Carolina

Questions about supported homes · Printable touring checklist · For discharge planners · Help available today