Real Support Comes Naturally
Community-Based Support for Real Life.
Natural Support Services is a North Carolina-based organization providing structured, Medicaid-supported programs that help individuals build stability, independence, and real-life skills.
Our programs provide:
Whether someone is transitioning into adulthood, building independence, or supporting a loved one, our team provides consistent guidance and practical support.
Refer a ClientNatural Support Services offers five structured programs designed to help individuals build stability, independence, and real-life skills. Each program is personalized to meet people where they are.
Structured housing and life-skills development for young adults transitioning into independence. Combines housing stability, education support, and workforce preparation.
In-home and community-based support for individuals who live independently but need help building routines, managing responsibilities, and achieving personal goals.
Structured daytime programming focused on life skills, social development, community participation, and employment readiness.
Scheduled respite care that gives caregivers reliable relief while ensuring individuals receive safe and structured support.
Alternative Family Living — family-style living where individuals live with trained host families who provide mentorship, support, and a stable home environment.
NSS offers five distinct programs designed to meet people where they are. Whether someone is transitioning to adulthood, building independence, or finding the right living situation, we create personalized support plans around each individual's needs and goals.
Meeting regularly with a support professional who helps you work toward personal goals
Building routines that support independence and stability
Learning budgeting, responsibilities, communication, and decision-making
Support with employment readiness, education goals, or transitioning into adulthood
For individuals who benefit from stable housing with consistent daily support
Providing planned support so caregivers can rest and families can thrive
Support is personalized. We meet you where you are.
This may be right for you if:
If you're unsure — that's okay. Our team can help you explore your options.
Natural Support Services uses structured programs to help individuals build independence, stability, and real-life skills through consistent support and clear goals.
Support is delivered through clearly defined programs designed to meet people where they are and help them grow toward greater independence.
Participants work with a consistent team that understands their goals and progress over time.
Our programs focus on practical life skills like managing responsibilities, building routines, and preparing for the future.
Services take place in homes, communities, and structured living environments — not institutions.
Each program is designed to help individuals build stability and gradually increase independence.
We work closely with care managers and Medicaid plans to ensure services are authorized and coordinated.
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.
The Growth Program helps young adults transition into independence through structured housing and comprehensive life-skills development. We combine housing stability, education support, workforce preparation, and ongoing guidance to help participants build a solid foundation for adulthood.
Safe, structured living environment with staff support
Assistance with GED, college enrollment, or vocational training
Job search support, resume building, and workplace skills
Budgeting, cooking, transportation, and daily living skills
The Independence Program provides in-home and community-based support for individuals who live independently but need help building routines, managing responsibilities, and achieving personal goals. We meet you where you are and help you get to where you want to be.
Adults who live on their own or with family but want more structure, routine, or support in reaching personal goals. This program is ideal for those who are relatively independent but could benefit from consistent guidance and skill-building.
Our Day Program provides structured daytime programming focused on life skills, social development, community participation, and employment readiness. Participants engage in meaningful activities that build confidence and independence.
Build life skills, explore interests, connect with peers, and work toward personal goals through structured community activities, educational programs, and employment preparation.
The Respite & Relief Program provides scheduled respite care that gives caregivers reliable relief while ensuring individuals receive safe and structured support. We partner with families to create customized respite plans that work for everyone.
Families and caregivers who need temporary support to rest, recharge, or handle other responsibilities. Respite care ensures your loved one is in good hands while you take care of yourself.
Alternative Family Living (AFL) provides family-style living where individuals live with trained host families who provide mentorship, support, and a stable home environment. This program offers a unique alternative to traditional group homes or institutional settings.
Individuals who would benefit from a family-like setting with consistent support from a dedicated host family. AFL is ideal for those seeking a more personalized, home-based living arrangement.
Natural Support Services works closely with care managers, Medicaid health plans, hospitals, residential providers, and community agencies to help individuals access the right program for their needs.
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.
Natural Support Services provides structured programs that help individuals build stability, independence, and real-life skills.
Whether someone is transitioning into adulthood, building daily routines, or looking for the right living or support environment, our programs are designed to meet people where they are and help them move forward.
Our team works with individuals, families, and care managers to identify
the right program and coordinate support based on each person's goals
and needs.
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