Special Assistance In-Home Case Management

Special Assistance In-Home Case Management


  • The county’s Adult Services unit within DSS provides case management for recipients of Special Assistance (SA) In-Home financial assistance and in-home aide services. 
  • The program assists Medicaid-eligible adults in need of home-level care with the support necessary for them to remain safely and effectively in their own homes as long as possible. 
  • Case managers conduct in-depth assessments to determine an individual’s ability to live at home, like the functional status of the client and need for care and services, availability of family, friends, and neighbors to provide care and services, availability and access to care and services from agencies and other formal service providers, ability to pay for housing, and availability of affordable and safe housing. 
  • If a person is determined to be able to remain safely at home with the right assistance and support, this program provides a financial supplement and helps to develop a care plan with the needed services for the person to live at home.


To be eligible for the Special Assistance In-Home Program, an individual must:

  • Fully qualify for Medicaid;
  • Be 18 years of age or older;
  • Be a New Hanover County resident;
  • Have a completed FL-2 requiring care in a licensed adult care facility but desire to live at home or another private living setting;
  • Be a U.S. Citizen or Qualified Alien;
  • Meet Special Assistance eligibility requirements;
  • Be able to have health, safety and well-being maintained with appropriate services, such as in-home aide services, home modifications, case management services and needed supplies; and
  • Must have unmet financial needs.

How to Apply

  • Contact New Hanover County’s Social Services at 910-798-3500 option 4, to set up a face to face assessment with a Medicaid caseworker. 
  1. Janella Lee

    Adult Services Supervisor

  2. Terah Sigman

    Adult Protective Services Supervisor

  3. Sean Dwyer

    Program Manager, Adult Services