Provider Outreach to Members

Some providers are encouraging patients to sign up for managed care (i.e. the Standard Plans) and listing the health plans they have contracted with to help patients with health plan selection. We welcome this engagement from our providers, but please note that not all Medicaid members are moving to managed care now. We understand receiving letters or other information from providers to sign up for a health plan is causing some confusion for our members who are not required to sign up at this time.

Members who are not required to sign up include those on the Innovations Waiver or people receiving intensive mental health or substance abuse services.

If you hear from your provider conducting outreach, we encourage you to call the NC Medicaid Enrollment Broker at 833-870-5500 (TTY: 833-870-5588). The enrollment broker can tell you if you are required to sign up for Medicaid Managed Care at this time and can help you with making an informed choice if you are.

Supports Intensity Scale® (SIS)

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Woman with a pink blouse smiling beside flowers vaseA MEASURE FOR SUCCESS

What is the Supports Intensity Scale?

The Supports Intensity Scale (SIS) reflects a positive way of thinking. SIS focuses on the support needs for individuals with intellectual/developmental disabilities (I/DD) to be successful. The SIS results will provide useful information for development of Individual Support Plans (ISP) because it gathers a wealth of information about an individual’s support needs.

The Supports Intensity Scale® (SIS) - Adult

  • is a nationally normed assessment tool designed by experts for people with intellectual and/or developmental disabilities age 16 and older
  • is nationally recognized, adopted by 18 states, used internationally
  • identifies and measures the supports needed for an individual to successfully participate in various life activities
  • is conducted through a positive and thorough interview process every three years

Who receives a SIS® assessment?

All individuals receiving services through the NC Innovations Waiver are required to receive a SIS.  The SIS gives very valuable information to us and to you. 

The SIS includes three sections, each of which measures a particular area of support need.

The Supports Intensity Scale® (SIS) - Adult

Section 1
The Supports Intensity Scale® consists of 49 life activities grouped into six domains:

  • Home Living
  • Employment
  • Lifelong Learning
  • Community Living
  • Health and Safety
  • Social Activities

Section 2
Supplemental Protection and Advocacy measures eight activities. Information learned here is helpful in developing individualized support plans.

Section 3
Exceptional Medical and Behavioral Supports Needs measures support needs across 15 medical conditions and 12 challenging behaviors. An underlying assumption of the SIS® is that certain medical conditions and challenging behaviors predict that a person will require increased support over time. The medical and behavioral items identify important considerations for support needs planning. 

The Supports Intensity Scale® (SIS) - Children

  • is a different assessment tool used to identify the support needs of children younger than 16
  • measures the relative intensity of support needs of children with intellectual and/or developmental disability 
  • focuses on the extent of extra support a child needs to fully participate in a variety of activities
  • is conducted every two years

Section 1
The Supports Intensity Scale® consists of 61 life activities grouped into six domains:

  • Home Life
  • Community and Neighborhood
  • School Participation
  • School Learning
  • Health and Safety
  • Social Activities

Section 2
Supplemental Protection and Advocacy measures nine activities. Information learned here is helpful in developing individualized support plans.

Section 3
Exceptional Medical and Behavioral Supports Needs measures support needs across 18 medical conditions and 14 challenging behaviors. An underlying assumption of the SIS® is that certain medical conditions and challenging behaviors predict that a person will require increased support over time. The medical and behavioral items identify important considerations for support needs planning

To learn more about the SIS® . . . 

Watch these SIS® Videos produced by the American Association on Intellectual and Developmental Disabilities. 

Resources & Links

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