Special Assistance In-Home

Adults who are at risk of placement in an Adult Care Home may qualify for assistance to remain at home instead. The Special Assistance In-Home Program (SA/IH) can help qualified individuals who are assessed as having a safe home environment and demonstrated need for additional financial supports and services, to continue living independently. SA/IH can assist with essential expenses such as food, shelter, clothing and other daily necessities associated with a private living arrangement. A case manager works with participants to determine the need and purpose for SA/IH assistance. The case manager also monitors to assure the funds are used for the intended purposes and that the participant remains safely at home.

Eligibility criteria:

  • Must be at least 18 years old;
  • Must require the same level of care as provided by an adult care facility (confirmed by MD) but express a desire to live at home or in another private living setting;
  • Must have income below the federal poverty level and be eligible for Medicaid;
  • If not already receiving Medicaid, must fill out an application and be determined eligible for both Medicaid and SA In-Home payment;
  • Must demonstrate need for added financial support to remain safely at home;
  • With services, can have health, safety and well-being maintained at home.

There are a limited number of SA/IH slots available in Cabarrus County and applicants may be placed on a Wait List. Once a slot becomes available, applicants will be advised to fill out an SA/IH Medicaid application and will then be referred to an SA/IH Case Manager for assessment in the home.

The individual needing services or someone acting on the individual's behalf can call the Adult Services line at 704-920-1400 (Press Option 7, then Option 2) to request assistance. Requests for assistance can also be made in person.

For further information, visit:

Special Assistance In-Home Program