Individual and Family Directed Services

NC Innovations offers participants and their guardians a choice about how services are directed. The Innovations program allows participants or their guardians to self-direct some or all of the participant’s services, instead of having all services directed by a healthcare provider. Self-directed services are called Individual and Family Directed Services (IFDS). There are two models in the IFDS option: Employer of Record (EOR) and Agency with Choice (AWC).

Participants and legally responsible persons (LRPs) who choose the IFDS option are choosing to function as a provider. This means that you/your LRP, the EOR/Managing Employer, and the Representative (if applicable) have the ability and the responsibility to access information, manage employees and budgets, and get support and assistance. You are also responsible for participating in and cooperating with any and all Vaya monitoring reviews, payment reviews, audits, and other investigations.

Speak to your Vaya care manager to learn more, or view the handbook.

Documents and forms (Will open in a new window)

Relative as Direct Support Employee (RaDSE)

RaDSE DocuSign Form

NC Innovations Provider Quarterly Self Review of Member Record

EOR Supply List

EOR Improvement Training

EOR Improvement Training PDF

Q&A Companion EOR Performance Improvement Process


Vaya Health’s Network Performance Unit uses an Annual Monitoring Tool for Employers of Record for Innovations participants using the EOR model. A copy of the tool will be provided to the EOR before annual monitoring takes place.


The Arc of North Carolina, Inc. (828) 254-4771


F.I.R.S.T. (d/b/a FIRST) (828) 277-1315

Covenant Case Management (704) 249-7418


Acumen Fiscal Agent, Inc. (480) 295-4930

Secure Direction NC (833) 278-3737

Individual and Family Directed Services (IFDS) Email Updates

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