Refer a Member to Join AKALAKA

Refer a Member

AKALAKA accepts referrals from North Carolina Tailored Care Managers serving members with the NC Innovations or Traumatic Brain Injury (TBI) Waiver. Individuals and families can also submit this referral for AKALAKA to contact the Care Manager to submit requests.

Refer Now

Two people sitting at wooden table with masks on working on devices with wall art TOGETHER in the background.

Refer adults with intellectual/developmental disabilities (I/DD) and their sibling care partners to AKALAKA. Submit the following information to get started today:

Member's Health Plan
Member's Care Management Agency
Care Manager's First Name
Care Manager's Last Name
Care Manager's Email Address
Care Manager's Phone Number
Member's First Name
Member's Last Name
Member's Contact Email Address
Member's Contact Phone Number
Sibling(s)' Name(s) and Information
Member's Waiver Program
Services We're Requesting

S5111 ‐ Natural Supports Education: Conference

H2015U1 ‐ Community Networking ‐ Class & Conf

Other
Member and/or Family's Journey, Goals, and Needs
Terms & Privacy

I accept the Terms of Service, Privacy Policy, and Notice of Privacy Practices.

Questions?

Who?

AKALAKA is a North Carolina Medicaid home & community-based service (HCBS) provider and can provide services for our community members with the following waivers and their care partners, at no financial cost to members:

The North Carolina Innovations Waiver is for our community members who (1) need a level of care one may receive in an "Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID)," (2) currently live in an ICF-IID or are "at risk of being placed" in an ICF-IID, (3) are able to "stay safe, healthy and well" in the community while using NC Innovations Waiver services, (4) need and use NC Innovations Waiver services listed in their person centered plan at least once a month, and (5) want to use NC Innovations Waiver services instead of living in an ICF-IID.

The North Carolina Traumatic Brain Injury (TBI) Waiver is for our community members who (1) are eligible for Medicaid based on their assets and income, (2) have residence in Durham, Wake, Cumberland or Johnston counties, (3) choose to participate in NC TBI Waiver services rather than institutional care, (4) have a need for NC TBI Waiver services specified in their person-centered Individual Support Plan, (5) use at least one non-respite NC TBI Waiver service monthly, (6) can "maintain health, safety, and well-being" in the community through budgeted NC TBI Waiver services, (7) live in a private residence or in a licensed facility with six or fewer persons unrelated to the owner of the facility, (8) need a level of care one may receive in a Skilled Nursing Facility (SNF) like a nursing home or a Specialized Hospital, (9) demonstrate the potential to benefit from specialized rehabilitation, and (10) require specialized brain injury services or supports that exceed SNF services.

What?

Tailored Care Managers can submit requests to utilization management for individual, group, classes and conferences of the following Waiver services:

Community Networking for individuals with I/DD and/or TBI to connect with inclusive activities and pursue their personal goals.

Natural Supports Education for those that care about siblings with I/DD and/or TBI to receive support and resources to sustainably care for siblings as they pursue their personal goals.

Where?

AKALAKA is in-network with Vaya Health in the following counties:

Alamance, Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Caswell, Chatham, Cherokee, Clay, Franklin, Graham, Granville, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Person, Polk, Rowan, Stokes, Swain, Transylvania, Vance, Watauga, Wilkes, and Yancey.

Any Local Management Entity/Managed Care Organization or Tailored Health Plan (Trillium Health Resources, Alliance Health, Eastpointe, Partners Health Management, and Sandhills Center), care management agency (CMA), or advanced medical home plus (AMH+) can also request invoices to bill Medicaid for AKALAKA home- and community-based classes and conferences, including in the following counties statewide in North Carolina:

Bladen, Brunswick, Carteret, Columbus, Halifax, Nash, New Hanover, Onslow, Pender, Beaufort, Bertie, Camden, Chowan, Craven, Currituck, Dare, Gates, Hertford, Hyde, Jones, Martin, Northampton, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington, Cumberland, Durham, Johnston, Mecklenburg, Orange, Wake, Duplin, Edgecombe, Greene, Lenoir, Robeson, Sampson, Scotland, Warren, Wayne, Wilson, Burke, Cabarrus, Catawba, Cleveland, Davie, Forsyth, Gaston, Iredell, Lincoln, Rutherford, Stanly, Surry, Union, Yadkin, Anson, Davidson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond, and Rockingham.

Refer Now

Contact AKALAKA today by phone at 704-916-9869 or email at hi@akalaka.org. Thank you!

Refer a Member

Questions?

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