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NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans will launch July 1, 2024. Choice period ends on May 15, 2024. Please call to select your PCP. Find PCPs available in our health plan.

Effective February 1, 2024, citizens of Harnett County are being served by Alliance Health. Access more information for or for providers.

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Self-Directed Services

Resources on this page provide an overview of beneficiary-directed services, known as Individual and Family Directed Services (IFDS).

Older man smiling at younger man with down syndrome

The NC Innovations waiver offers beneficiaries both agency-directed and beneficiary-directed supports options. Beneficiary-directed services are known as Individual and Family Directed Services (IFDS). Two options for IFDS under the Innovations waiver are Employer of Record and Agency With Choice.
At Alliance the orientation to IFDS is conducted as part of the annual ISP planning process by Care Management.

The following services can be self-directed:

  • Community Living and Supports
  • Community Networking
  • Individual Goods and Services (in conjunction with at least one other self-directed service)
  • Natural Supports Education
  • Respite
  • Supported Employment
  • Supported Living

Please review Alliance’s Updated IFDS Manual along with Alliance’s IFDS Training PPT to learn more about Self Directed Supports.

IFDS Manual

Self-Direction Manual Revisions (posted December 2023)
Handbook Reference and Page NumberWhat Changed
Page 18: Payments may not be made directly to the individual, the EOR, the representative, or family. Instead, only the person (individual or entity) providing the service, supply or other item receives the payment.This section is removed and should not have been included in the August 2022 revision to the Individual and Family Directed Supports Handbook. Financial Support Service agencies should follow Clinical Coverage Policy 8p which includes ordering employment related supplies and paying invoices for other expenses.
Page 18: Funds that have not been used by the first of the month that occurs four months after the end of the individual’s plan year will be recovered by Alliance from FSA.Effective October 1, 2023, Alliance has waived this requirement due to the transitions from GTI while the reconciliation process is still underway.
Page 18: Bonus payments to employees are limited to $5,000 per employee every 12 months.Effective October 1, 2023, Alliance has waived this limit due to the transitions from GTI while the reconciliation process is still underway.

IFDS Provider Training Presentation

This page was last reviewed for accuracy on 08/01/2022