Covenant Thrive
Specialized Disability Care Services
What are
Specialized Consultative Services?
Covenant Thrive provides specialized care and therapy services that help individuals with intellectual and developmental disabilities (IDD) live safer, more balanced, and more independent lives. These are medically necessary, consultative supports, meaning a qualified professional assesses each person's needs and provides targeted guidance to the people who support them day-to-day.
Support is personalized to the individual. It focuses on strengthening independence, improving daily living, and enhancing overall well-being, with strategies built around each person's specific goals and circumstances. Rather than a one-size-fits-all program, the service adapts to what each person actually needs to thrive.
The result we work toward is practical and lasting: safer daily routines, greater independence, and a better quality of life for each person we serve and for the families and caregivers who support them.
How It Works
Every person's care journey is unique. Covenant Thrive starts by understanding each individual's needs, then builds care that fits their goals rather than fitting them into a fixed plan.
Step
Comprehensive Needs Assessment
A licensed therapist or nurse evaluates strengths, challenges, and health goals. This includes reviewing medical diagnoses, medications, and daily support requirements.
Step
Customized Care Plan
Based on the assessment, our team develops a person-centered plan that may include behavioral health therapy, dietary guidance, occupational or physical supports, and nursing oversight. Each plan follows state criteria for NC Innovations Waiver participants.
Step
Ongoing Consultation and Support
Our team offers continuous virtual and in-person consultative services, including behavioral, occupational, physical, dietary, speech, recreational, and nursing consultations. These sessions help ensure care plans remain effective and responsive to changing needs.
Who does Covenant Thrive support?
Covenant Thrive supports:
- Individuals with intellectual or developmental disabilities who need specialized adult care or behavioral support
- Families seeking inclusion services that improve daily living and promote community integration
- People who benefit from specialized treatments such as therapy coordination, adaptive equipment planning, or health monitoring
- Caregivers who need training and professional guidance to ensure safe, effective support at home
Our services reflect a commitment to inclusion of people with disabilities, ensuring every individual has access to compassionate, evidence-based care.
Who Qualifies?
-
NC Innovations Waiver – Specialized Consultative Services (Nursing)
-
SCS Nursing Oversight
- Service Code: NC Innovations Waiver – Specialized Consultative Services (Nursing)
- Requires referral and enrollment in SCS per state criteria
- Must be medically necessary and documented in the individual’s Person-Centered Plan (PCP).
What SCS Nursing Oversight Includes
Initial Nursing Assessment
Initial Nursing Assessment
Within 30 days of referral, a licensed nurse completes a full evaluation, including:
- Medication review
- Baseline vital signs
- Review of medical diagnoses
- Identification of nursing needs and caregiver training requirements
Monthly follow-ups ensure continuity of care and timely updates to the individual’s plan.
Individualized Care Plan
Individualized Care Plan
Each plan includes:
- Diagnosis-specific care instructions (for example, seizure or diabetes protocols)
- Clear delegation notes for Direct Support Professionals (DSPs)
- Monitoring plans for high-risk conditions
Weekly Medication Administration Record (MAR) Review
Weekly Medication Administration Record (MAR) Review
The nurse audits medication records for accuracy and compliance. Any discrepancies are corrected and documented for accountability.
DSP and Caregiver Training
DSP and Caregiver Training
Ongoing training covers:
- Medication support and safety
- Emergency response protocols
- Condition-specific care practices
Ongoing Oversight and Documentation
Ongoing Oversight and Documentation
Nurses attend care team meetings, communicate with physicians and care managers, and provide recommendations to improve quality of care. All activities, including MAR audits and training, are documented to ensure compliance with Medicaid and state standards.
Frequently Asked Questions
Within the first 30 days of referral, a licensed nurse completes a full evaluation. This includes a review of medications, baseline vital signs, current medical diagnoses, and training needs for caregivers.
After the assessment, the nurse creates a plan that outlines diagnosis-specific care instructions, delegated DSP tasks, and monitoring procedures for high-risk conditions. The plan is updated as needs evolve.
Weekly Medication Administration Record (MAR) reviews ensure accuracy and compliance. Any issues found are addressed promptly, with documentation for quality assurance and compliance.
Training focuses on medication safety, emergency procedures, and condition-specific care. Competency checks are performed regularly to maintain high care standards.
SCS nurses remain involved through routine follow-ups, participation in care team meetings, and coordination with physicians and care managers. This ensures each care plan stays aligned with medical needs and state requirements.
Every activity, from MAR audits to caregiver training, is documented in accordance with Medicaid and state guidelines. This ensures accountability, billing accuracy, and continuity of care.
Get started with
Specialized Consultative Services
*These offerings are virtual consultations. They do not include therapy or medical procedures.
Covenant Thrive helps individuals with IDD and their families access the specialized support they need to thrive. Our approach combines compassion, clinical skill, and accountability, bringing peace of mind to caregivers and better outcomes for the people we serve.
If you or a loved one qualifies for the NC Innovations Waiver, Specialized Consultative Services, contact Covenant to learn how we can help you access this support and build a plan designed for long-term success.
- Initial Nursing Assessment: Within 30 days of referral, the SCS nurse must complete a comprehensive assessment including: {nurse on demand}
- Full medication review
- Baseline vitals
- Current medical diagnoses
- Nursing needs and caregiver education - This assessment is then done monthly with check-ins.
- Individualized Care Plan: Developed and maintained to include:
- Diagnosis-specific instructions (e.g., seizure protocol, diabetes care)
- Clear DSP task delegation and training notes
- Monitoring plans for high-risk conditions - Weekly MAR Review: SCS nurse must:
- Audit all MARs for accuracy, completeness, and medication compliance.
- Follow up on any discrepancies with corrective action and documentation. - DSP/Caregiver Training: Provide regular training and competency checks for:
- Medication assistance
- Emergency response protocols
- Condition-specific support - Ongoing Oversight:
- Attend care team meetings as needed
- Communicate changes in condition to physician/care manager
- Provide recommendations to enhance the client’s quality of care - Documentation: All SCS activities, including training and MAR audits, must be clearly documented for billing and compliance purposes.
Direct Support
Professionals
Individuals Served
Since 2010
