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In our efforts to provide the highest quality and most comprehensive selection of services available, Pathways currently offers the following list of services, which include:

Innovations Waiver:

  • Residential Supports (UAFL and AFL)

  • Community Living and Supports Individual

  • Community Living and Supports Group

  • Community Networking Individual

  • Community Networking Group

  • Respite

  • Supported Living 

What is the Innovation’s Waiver?

The Innovations Waiver for Persons with Intellectual/Developmental Disabilities (I/DD) is a special Medicaid community care funding source. The Innovations Waiver combines federal and state funds to provide a cost-effective alternative to care in an intermediate care facility.


The goal of the Innovations Waiver is to allow individuals to live in the community with as much independence as possible. Available throughout North Carolina, Innovations Waiver can provide one-on-one services and supports for each participant, based on the individual’s assessed needs.

These services and supports include well-trained, screened staff working with participants in their homes and out in the community. Direct support professionals assist participants with such objectives as gross/fine motor skills, behavior, socialization skills, self-help skills, play skills, language and communication and academics.


Also covered, as needed, are respite, family training, supported employment, fences and alarm systems (for individuals at risk for wandering), and ramps and other home and vehicle modifications.

For more information about the North Carolina Innovations Waiver, visit or call your county’s mental health/developmental disabilities/substance abuse office

Residential Supports

This service is provided to members who live in a home contracted through Trillium Health Resources as an assisted family living setting with paid staff. The staff help with daily activities like bathing, dressing, preparing meals, socialization, community involvement, etc.

These services are provided to help you build new skills or maintain the ones you know, keep you healthy and safe and to be sure you feel part of the community.

Community Living and Supports

This service enables you to live successfully at home and to be an active member of your community. Paid staff will help you learn or improve personal skills that are based on your wants and needs, such as building relationships, living on your own and being a part of your community.

Community Networking

This service helps you find the activities in your community that you are interested in and supports your participation. This may lead to good relationships with new people who can help and encourage you


This service provides a chance for the caregiver who lives with you to take a break and get rest sometimes.

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