About Us

A Small Miracle, LLC, an Aymira Company,  is a North Carolina Statewide agency that provides a comprehensive array of supports and services to children and adults of all ages, with all types of intellectual and developmental disabilities.

ASM was created out of necessity more than 20 years ago when founders Janet and Rusty Presson grew tired of searching for quality services for their young son diagnosed with Autism. They decided to enter the marketplace themselves and thus A Small Miracle born. Much as has changed in that time, but just as importantly, many things have not. ASM remains a place that individuals and families with special needs turn to for high impact services and supports delivered in a nurturing and environment.

Since becoming an Aymira company in 2015, ASM has also been leading the way in the convergence of EHR technology and specialty care services. Our agency today is largely paperless, and completely data driven. We are embracing the industry’s move towards national initiatives like EVV, HIE, and Value Based Payments.

ASM specializes in Alternative Family Living Homes, Home and Community Based Services, Specialized Consultative Services, Speech , ABA, and Natural Supports Education. We provide the full array of NC Innovations Waiver Services, Medicaid B3 Services, Medicaid State Funded Services, plus Private Pay and Insurance Options.  

ASM also has a new initiative not offered by other agencies – The ASM Advocacy Team! The ASM Advocacy Team offers support, education and advocacy to individuals supported by ASM along with their families and natural supports by offering: Quarterly Family/Individual Advisory Meetings. Stakeholder’s Socials & Presentations on a variety of topics important to the the people we support and the community at large. Making/receiving phone calls and email contacts on a ongoing basis with those we support. The Advocacy Team has a “Speak Up!” Program that encourages families and/or staff to share their feedback with us! We want to know how we are doing, both the good things, and the things that we can improve upon.