Real Support Comes Naturally
Community-Based Support for Real Life.
We offer two structured programs — the Independence Program for in-home and community-based skill building, and Alternative Family Living (AFL) for family-style housing with trained host families.
Both programs are built around:
Whether someone is building daily living skills or looking for a family-style home, our team provides consistent guidance and practical support every step of the way.
Refer a ClientAt Natural Support Services, we believe that every person deserves the opportunity to live a meaningful and independent life.
Every plan is built around the individual's goals, strengths, and vision for their future.
We help people stay connected, engaged, and involved in their communities.
Practical, real-world skills that help build confidence and open doors to greater independence.
Consistent teams and host families that offer genuine connection, not just services.
Participants make their own decisions about their lives, goals, and the support they receive.
Every program is designed with one goal in mind: building a future of greater independence.
We meet people where they are and help them build the future they want — one step at a time.
We start with a simple conversation to understand your needs, answer questions, and learn about the type of support you may be looking for.
A clinician completes an intake and assessment to better understand your goals, strengths, and support needs.
Based on the assessment, we recommend the NSS program that best fits your situation and coordinate with your care manager or Medicaid plan if authorization is needed.
Your program team develops a personalized support plan and begins working with you through the appropriate NSS program.
We guide you through the entire process. You are not expected to understand Medicaid terminology.
All NSS programs are funded through North Carolina Medicaid. Services are provided at no cost to eligible members. Our team handles all authorization and billing directly with your Medicaid plan.
Accepted Medicaid Plans
Accepted Waivers & Plan Types
Building Skills. Creating Stability. Encouraging Independence.
The NSS Independence Program is designed for adults and transition-age young adults who want to build the skills and confidence needed to live more independently while receiving the support they need to succeed.
Every participant receives individualized, person-centered support based on their goals, strengths, and needs. Whether someone is learning to manage daily responsibilities for the first time or needs ongoing support to maintain independence, our team works alongside them every step of the way.
The Independence Program is ideal for individuals who may be:
Our mission is to help every participant build the confidence, life skills, and support network needed to achieve greater independence while remaining connected to their community.
A Safe, Supportive Home in a Family Environment
The Alternative Family Living (AFL) Program provides individuals with the opportunity to live in a safe, stable home alongside carefully selected host families who offer daily support, encouragement, and guidance.
Rather than living in a traditional facility, participants become part of a family environment where they receive personalized support while maintaining their dignity, independence, and individual goals. Each placement is thoughtfully matched to help create a positive and supportive living experience.
Our host families provide more than just housing — they offer encouragement, consistency, and meaningful relationships that help participants feel welcomed, respected, and supported.
Natural Support Services works closely with each host family through ongoing oversight, training, and quality monitoring to ensure every participant receives high-quality care.
We believe everyone deserves a place to call home. The AFL Program creates an environment where individuals can thrive, build confidence, develop life skills, and enjoy meaningful connections while working toward greater independence.
Natural Support Services works closely with care managers, Medicaid health plans, hospitals, residential providers, and community agencies to help individuals access our Independence Program and AFL Program.
We help coordinate program placement, authorizations, and service delivery. Our team is ready to assist with assessments, answer questions, and guide individuals through the enrollment process.
Whether you're exploring support for yourself, a loved one, or a client, our team is here to help you find the right path forward.
Our two programs — the Independence Program and Alternative Family Living — offer structured, person-centered support designed around each individual's goals.
Reach out today to start the conversation. We'll guide you through every
step.
Support is built around real life, real goals, and long-term
independence.
We are actively hiring dedicated staff to support individuals across our programs, including residential services, community-based supports, and supportive housing. Join our team and make a meaningful impact in the lives of the people we serve.
View Open Positions & Apply