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North Carolina
How do I hire long-term services for myself or a loved one?
With consumer-direction (also called self-direction), you have the right to live the life you choose. Right in your own home and community, no matter your age or ability.
Everyone’s situation is different. For some, consumer-direction means the ability to receive personal assistant services from a loved one. For others, it’s supporting parents so that they can care for children with disabilities. Or, it may simply be that as you get older you want to continue living where you choose and get care from someone you trust.
You deserve to live the life you choose. GT is here to make that easier.
Hear Sherri and Lois’ Story
How GT Independence Can Help You
GT Independence is a fiscal intermediary (FI) company that helps you live a life of your choosing. You decide what kind of personal assistant services you want; we handle the details. For example, you hire people you know and trust as employees (also known as providers or caregivers). We help you by taking care of all the necessary paperwork, such as timesheets, paychecks, taxes, and insurance.
At GT, we believe everyone should be able to decide where to live and who provides their care. Through consumer-direction, they can. Each person has a unique situation and personalized needs. GT is here to help you learn about how consumer-direction works in North Carolina, so you have the information to decide what is best for you.
Want to Know How to Get Started?
Understand Your Long-Term Care Options
Why Choose GT?
“With self-direction [consumer-direction], your aide can go with you to school and sit there in the classroom with you. They can help if needed or be a part of your virtual learning, depending on what you’re doing at the time.”
Parent
North Carolina
Find a Program
Community Alternatives Program for Disabled Adults (CAP/DA)
The CAP/DA program is for adults with disabilities who want to use consumer-direction. To enroll, you must fill out a self-assessment questionnaire with your case manager/care coordinator. A training orientation is also required.
Community Alternatives Program Children (CAP/C)
The CAP/C program helps people (21 years old and under) use consumer-direction. You can receive long-term services in your home or community setting. Services range from nursing and transport to special medical equipment and supplies.
Division of Aging and Adult Services: Home and Community Care Block Grant
The Home and Community Care Block Grant helps people (60 years old and over) direct their care. This program gives you and your employees flexibility in how you use your service. And, you can stay in your home or community while getting the long-term services you need.
Three Steps to Get Started
Review the programs and choose the program that best fits your needs
Get an eligibility assessment
Talk to your care coordinator/case manager about working with GT Independence as your fiscal intermediary (FI) provider.
Would you like someone to guide you through the process?
Looking for more resources?
We’ve made it easy to find what’s relevant to your state.
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Looking for a form?
To view forms, talk to your case manager/care coordinator or visit your GT Portal account.
Don’t have access to a portal account? Get in Touch
Your GT Support Team in North Carolina

Terrasel Jones
Director of Operations
North Carolina Customer Support
Call: 877.659.4500
Email: customerservice@gtsd.org
