At Prosperity Path, our Community Integration Programs are designed to enhance the lives of individuals with Intellectual Developmental Disabilities (IDD) by fostering community engagement and participation. Our 1915i Tailored services include Community Living and Supports that promote self-sufficiency at home, and Community Networking for meaningful day and/or volunteering activities. We also offer tailored Residential Supports, Respite for caregiver relief, B3 Respite for flexible support options, Supportive Employment assistance, and Crisis Services for acute interventions. Each program prioritizes dignity, inclusion, and empowerment in a supportive environment.
Community Living and Supports (Individual or Group): Increases or maintains the individual’s life skills or provides supervision needed to empower the individual to live at home, maximize self-sufficiency, increase self-determination, and enhance community participation and engagement.
Community Networking (Individual or Group): Provides individualized day activities that support the individual’s definition of a meaningful day in an integrated community setting with people who do not have a disability.
Day Supports (Individual or Group): Provides assistance to the individual with acquisition, retention, or improvement in socialization and daily living skills while emphasizing inclusion and independence in the facility and out in the community.
Residential Supports Level 1-4 / AFL: This service is intended to increase and maintain life skills, provide supervision, maximize self-sufficiency, increase self- determination, and ensure participation in the community while providing individualized services and supports to individuals who live in an alternative family living home of their choice.
Respite (Individual or Group): Provides periodic or scheduled support and relief to both the primary caregiver(s) and the individual.
B3 Respite (Individual or Group): Provides periodic support and relief which may include in and out- of-home services and activities in a variety of community locations, including overnight, weekend care, or emergency care.
Supportive Employment: Provides assistance to adults 16 years or older with choosing, acquiring, and maintaining a job.
Crisis Services: Provides intervention and stabilization for individuals who experience acute crises and who present a threat to the person’s health and safety or safety of others. Will be provided by a professional clinical staff.
State Funded Residential Supports: Focuses on assisting individuals in connecting to naturally occurring support systems and building relationships in the community that enhance opportunities for meaningful community participation while residing in a residential setting.
All services are ONE-ON-ONE unless specified in the plan as a group and approved before being provided. The Direct Support Professional (DSP) can only provide services to one individual at a time unless each individual served is receiving the same group service or lives in a licensed residential facility. It is Medicaid fraud to have anyone else with the DSP while they are providing services. This includes other individuals served, children, friends, or family members. If there are other children present during service provision, there must be another adult or baby-sitter present to take care of them.
Complete descriptions of each of these services are detailed in Service Descriptions and trained by the QP/AP prior to providing services.
When an individual is admitted to a hospital, all NC Innovations, B3, and state-funded services are suspended. Services may not be provided until the individual is discharged from the hospital. A copy of all medical documentation including discharge papers and new prescriptions should be provided to the QP/AP. RESIDENTIAL SERVICES Residential support is a daily service for individuals living in an alternative family home. Residential supports may be provided in a licensed or unlicensed home
Unlicensed Residential AFL homes
A residential home can be unlicensed if one adult will receive services in the home.
Before an individual can move into an unlicensed home, the home will have to be inspected by a Prosperity Path staff member to ensure the home meets all requirements and can meet the health and safety needs of the individual. After Prosperity Path completes the inspection and determines that the home meets all requirements, the appropriate MCO will need to approve the home. The MCO may complete an unlicensed review of the home before it can be approved and added to Prosperity Path's contract. This process must be completed prior to an individual moving into a residential home. If a DSP is moving into a new home, this process must be completed prior to providing services in the new home.
For All Residential Services, an HCBS provider self-assessment must be completed.
If residential services are being provided in an unlicensed home other residential or periodic services should not be provided in this home by the residential DSP or any other DSP who resides in the home.
Additional rules and guidelines may apply. Any changes to services provided in your home must be discussed with and approved by a Prosperity Path staff member.
Licensed Residential AFL homes
A residential home must be licensed by DHSR if one child (under 18) or more than one adult will receive services in the home. A home may be licensed for up to three adults.
Before a home can become licensed, the home will have to be inspected by a Prosperity Path staff member to ensure the home meets all requirements and can meet the health and safety needs of the individual(s). After Prosperity Path completes the inspection and determines that the home meets all requirements, a staff member will assist the DSP with completing the application process through DHSR. The licensure process includes many steps that need to be completed and may take several months to complete. The appropriate MCO will need to approve and add the home to Prosperity Path contract. This process must be completed prior to services being provided in a residential home. If a DSP is moving into a new home, this process must be completed prior to providing services in the new home.
The approved capacity for services is strictly enforced. This means if a home is licensed for AFL services for two individuals, no more than two individuals may receive residential services in the home.
For All Residential Services, an HCBS provider self-assessment must be completed.
No periodic services including respite may be provided in a licensed home by the residential DSP or any other DSP in the home.
All Licensed AFL homes shall remain in compliance with all applicable North Carolina State Building Codes and Fire and Sanitation inspections. Additional guidelines may apply.
