Raleigh & Wake County
IDD & TBI Case Management
in Wake County
One dedicated care partner to coordinate therapies, benefits, and community services for your loved one, so your family can stop navigating the system alone.
Start Here
Case management for Raleigh-area families
If you care for someone with an intellectual or developmental disability or a traumatic brain injury in Wake County, you already know how much falls on you. Appointments across the Triangle. Benefit letters that raise more questions than they answer. A plan that never quite connects.
Covenant Case Management Services gives your family one care partner who holds the whole picture. We coordinate the therapies, benefits, and community supports your loved one qualifies for, and we stay in your corner as goals change. We are CARF-accredited and NC DHHS-certified, and we serve families across Raleigh and all of Wake County.
What is IDD case management? It is a Medicaid-funded service that gives your family a single professional to plan, coordinate, and monitor the supports your loved one receives. Your care partner builds the Individual Support Plan, connects the services, and adjusts the plan as life changes.
Services in Wake County
The support Covenant coordinates near you
Case management connects your loved one to a full continuum of care. In Wake County, that includes the services below, delivered through the NC Innovations Waiver and 1915(i) where your loved one qualifies.
Community Living & Support
Daily living support that builds independence in real community settings, at your loved one's own pace.
Explore Covenant AbleHaven →Alternative Family Living
A trained host household where an adult is welcomed and supported as part of the family.
Explore Covenant HomeCare →Supported Living & Respite
Independence in your loved one's own home, plus respite that gives family caregivers time to rest.
Explore Independence & GracePause →Employment & Day Programs
Supported employment, community networking, and a day program built around each person's interests.
Explore Pathways & DreamCenter →Waivers & Eligibility
How Wake County families access services
Quick answerMost services are funded through NC Medicaid, either the NC Innovations Waiver or 1915(i) state plan services. Your family works with the local managed care plan, and Covenant coordinates the rest.
Your local plan in Wake County
Alliance Health is the Tailored Plan and LME/MCO that manages Innovations Waiver and behavioral health services for Wake County. Covenant works alongside Alliance Health to enroll your loved one, confirm covered services, and build the plan. If your loved one is on the Innovations waitlist, 1915(i) services may be available in the meantime, and your care partner can walk you through both.
Getting Started
Three steps to begin in Raleigh
Starting services is simpler than families expect. Here is the path.
Reach out to Covenant
Call 704-780-4552 or request services online. Tell us about your loved one and what your family needs right now.
Confirm coverage and plan
We help verify NC Medicaid eligibility, connect with Alliance Health, and identify whether the Innovations Waiver or 1915(i) fits.
Build the support plan
Your care partner builds an Individual Support Plan around your loved one's goals, then coordinates and monitors every service in it.
Your Advocate
Why Wake County families choose Covenant
Covenant was founded in 2010 by Paul Peters, a father of a child with IDD who could not find the kind of partner his own family needed. That is still how we serve.
- One care partner, not a call center. The same person learns your loved one's routines and stays with your family.
- Local knowledge. We know how services move through Wake County and Alliance Health.
- Whole-person planning. Clinical, daily, and community supports are coordinated together, not in pieces.
- A partner who answers. When something changes, you reach a person who already knows your family.
Common Questions
Frequently asked questions
Does Covenant provide case management in Wake County?
Yes. Covenant Case Management Services provides IDD and TBI case management for families in Raleigh and across Wake County. One dedicated care partner coordinates therapies, benefits, and community services.
Which LME/MCO covers Wake County?
Alliance Health is the Tailored Plan and LME/MCO serving Wake County. Covenant works with Alliance Health to coordinate Innovations Waiver and 1915(i) services. Confirm your current plan at ncmedicaidplans.gov.
How do I start IDD services in Raleigh?
Call Covenant at 704-780-4552 or request services online. The team confirms Medicaid and plan eligibility, connects with Alliance Health, and helps build an Individual Support Plan around your family's goals.
Go Deeper
Helpful resources for Wake County families
Explore our services, browse caregiver guides and toolkits, or read our guide to IDD and TBI case management in North Carolina.
Our Promise
Thrive with Purpose
Every person we serve in Wake County deserves a life of purpose, connection, and dignity. Our job is to coordinate the support that makes it possible, so your family can focus on the life you picture together.
Start the Conversation
Ready to begin in Wake County?
Call or email our team today. We will help you take the next step, at your family's pace.