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Who We Are

In the 1980s the North Carolina Association of Community Based ICF/MR Providers was formed to represent community-based not-for-profit and for-profit providers. Members include small, medium and large providers.

As an advocate for the ICF/IID industry, as well as the people who are served by ICF/IID and Innovations services providers, the Association provides information on the current system and needs for the future.


BACKGROUND: The community ICF/IID system in North Carolina is a multi-faceted service system which provides people with options allowing them to grow and develop to their fullest potential. The persons served in ICF/IID homes have unique emotional, cognitive, behavioral and physical/medical needs.

The needs of the people we support require intensive interdisciplinary services. It is important to recognize that progress made by persons with Intellectual or Developmental Disabilities occurs slowly and the pace of progress must be considered when measuring the overall success of any service delivery system. On July 1, 2012, the NC Department of Health Regulation Service (NC DHRS) officially changed the name of NC’s ICF/MR system to ICF/IID or Intermediate Care Facilities for Individuals with Intellectual Disabilities.


What We Do

The Association members have voiced concerns over recent funding cuts to community services by the NC DHHS. At the same time, the NC DHHS increased the funding of the large state centers. The present ICF/IID model has successfully served people with the same or higher acuity issues as those residing in the state’s large institutions.

Therefore, the NC Association of Community Based ICF/MR Providers strongly recommends that policymakers consider the following:

  • There are currently a number of individuals needing ICF/IID residential services. It is the belief of the members of this Association that the state must lift the moratorium on ICF/IID development and allow the growth of ICF/IID and other services (which are currently available) to help meet the needs of those people who require these residential services.
  • It should be recognized that the growth and efficiencies in the community ICF/IID homes in North Carolina occurred in the 1990s. In order for this efficient growth to continue, changes should occur only when all parties — including the Division of Medical Assistance, the Division of Health Service Regulation and the providers — have reached consensus. We support changes which will ultimately benefit the people served by offering chances to receive adequate supports while living in their home communities.
  • No single type of service can meet the needs of all people. While it is understood that Medicaid waiver services can meet the needs of some, there are a number of individuals on waiting lists who require 24-hour “awake and alert” supervision. The ICF/IID model is the most appropriate service for a number of these people.
  • Association members report that persons served and their families are pleased overall with services received in ICF/IID programs in the community. Additionally, many providers report receiving numerous calls from families or advocate representatives specifically requesting ICF/IID residential services.

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