Individual & Family-Directed Support
Self-Determination | Empower
The Individual and Family Directed Supports Option encourages self-determination. Self-determination lets you select the services or supports that meet your needs. It is person-centered and person-directed. Individuals may direct some or all of the services that are provided through the NC Innovations Waiver.
You and your family have more control over the way your services are provided by directing them yourself. You, your family, or the legally responsible person directs services.
There are two models for you to choose under this option:
Agency with Choice Model - You partner with the provider to supervise or manage support workers.
Employer of Record Model - You, your family, or the legally responsible person supervise or manage support workers.
For more information, click on the links below.
- Individual & Family-Directed Supports Brochure
- NCDHHS Innovations Accrued Funds Notice November 2025
- Innovations Accrued Funds Notice
- Fact Sheet Community Navigator
- Fact Sheet-Overview Individual & Family Supports
- Fact Sheet-Duties of a Representative
- Fact Sheet-Individual Goods and Services
- Agency with Choice & Employer of Record - Individual & Family-Directed Supports
- Agency with Choices Handbook Supplement
- Employer of Record Handbook Supplement - Individual & Family-Directed Supports
- Employer Resources & Forms Handbook - Individual & Family-Directed Supports
- Employer Documents & Forms Library
If you are a member on the Innovations Waiver and want to learn more about self-directed supports, contact your Care Coordinator/Care Manager.
