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Details for Service At Risk Case Management/Out of Home Placement
Service Name At Risk Case Management/Out of Home Placement Program Name Adults At-Risk for Out of Home Placement
Goal Provide services and supports to individuals and families experiencing health and safety needs to assist them in living successfully in the community.
Objective Assure that adults with health and safety needs that could result in out-of-home placement receive support services to enable them to continue to live at home and/or community.
Division Division of Aging and Adult Services
Service Description

At Risk Case Management is a service that can improve or manage harmful situations and prevent further harm from occurring. Services are provided to disabled adults and families with children who have been abused, neglected or exploited and are in need of protection and include Adult Placement Services to find substitute homes or residential care facilities when they are unable to remain in their current home.

Professional case managers, working through each North Carolina county department of social service,provide this service. Their role is to:

  • Assess individual needs and then plan for, arrange, coordinate and monitor services for the person and  family

  • Promote improved family functioning

  • Make use of home- and community-based services in an effort to prevent the need for an acute care or long term care setting

At Risk Case Management also serves adults who are at risk of further mistreatment because the conditions leading to a prior episode continue to exist. When requested, social workers also can help individuals return to more independent settings in the community or relocate in more appropriate settings when new levels of care are needed. These services benefit aging or disabled adults, and their families, who need help with placement and is provided without regard to income.

The Adult Home Specialist Fund also a part of this service, assists county social services departments with financial support for monitoring adult care homes. The funding supports the salaries of adult care homes specialists, who ensure that licensed adult care and family care facilities meet state licensing standards and provide care that meets the needs of the resident. 

Web Site https://www.ncdhhs.gov/assistance/low-income-services/at-risk-case-management Year First Initiated 1992
Available State Wide Yes Geographic Area Served
Grants Provided No Competitive Bidding No
Competitive Bidding Details
Waiting List No Waiting List Start Date
Number Waiting
Waiting List Details

Income Eligibility
Income Eligibility No
Income Eligibility Method
Income Eligibility Type
Whose Income Eligibility
Income Disregard No
Income Disregard Desc
Income Verified No
Income Verified Method
Income Criteria
Income Eligibility Change
Income Eligibility Method Prior To Change
Income Eligibility Other

Target Population
Age Range Start Age Range End
0 100+
18 100+

Legal Authority
Authorization Level Authorization Type Citation
State Statute Senate Bill 10, 1999 Session Laws
State Administrative Rules HHS-approved Medicaid State Plan; 10A NCAC 220.0123; Social Security Act
State Administrative Rules North Carolina SSBG plan; Title XX; 10NCAC71R.0103

Budget Information
State Fiscal Year (SFY)
As of the month of
Authorized Budget Fiscal Year 2024 SFY 2023-2024 Year To Date Expenditures Balance
Salary and Fringes (1X) 0 0 0
Salary Other (1X) 0 0 0
Operating (2X-5X) 0 0 0
Contracts/Allocations (6X) 0 0 0
Reserves (7X) 0 0 0
Transfers (8X) 0 0 0
Total Requirements 0 0 0
Receipts-Federal 0 0 0
Receipts- Local receipts 0 0 0
Receipts- Other receipts 0 0 0
Total Receipts 0 0 0
General Fund Appropriations 0 0 0
State Local Other
0 0 0
State Local
0 0