Our Services

In our efforts to provide the highest quality and most comprehensive selection of services available, A Small Miracle currently offers a wide range of services, which include:


  • Intensive In-Home Supports
  • Community Living and Supports
  • Natural Supports Education
  • Community Networking
  • Supported Living
  • Respite
  • Supported Employment
  • Crisis Services
  • Day Supports
  • Specialized Consultative Services
  • Specialized Consultative Services: BCBA
  • Developmental Day (year round and summer program)
  • Residential Services (AFL)
  • B(3) Respite
  • B(3) Supported Employment
  • B(3) In-Home Skill Building.

Developmental Therapy

  • Professional
  • Paraprofessional

TBI Waiver Services

  • Community Networking
  • Day Supports
  • Intensive In Home
  • Life Skills Training
  • Personal Care
  • Respite
  • Specialized Consultative Services

What is the Innovation’s Waiver?

The Innovations Waiver for Persons with Intellectual/Developmental Disabilities (I/DD) is a special Medicaid community care funding source. The Innovations Waiver combines federal and state funds to provide a cost-effective alternative to care in an intermediate care facility. The goal of the Innovations Waiver is to allow individuals to live in the community with as much independence as possible. Available throughout North Carolina, Innovations Waiver can provide one-on-one services and supports for each participant, based on the individual’s assessed needs.

These services and supports include well-trained, screened staff (habilitation technicians) working with participants in their homes and out in the community. Habilitation technicians assist participants with such objectives as gross/fine motor skills, behavior, socialization skills, self-help skills, play skills, language and communication and academics. Also covered, as needed, are respite, family training, supported employment, fences and alarm systems (for individuals at risk for wandering), and ramps and other home and vehicle modifications.

For more information about the North Carolina Innovations Waiver, visit www.dhhs.state.nc.us/mhddsas or call your county’s mental health/developmental disabilities/substance abuse office. If you live in North Carolina, you may also contact us at 1-800-760-0665 and we will help you find the appropriate person for you to talk to in your county.

Natural Supports Education (NSE)

Formerly known as “Family Training” or “Individual/Caregiver Training and Education (ICTE)”, Natural Supports Education (NSE) is an excellent way for family members to learn more about their loved one’s disabilities and the best educational, therapeutic, and biomedical interventions available to address them. A Small Miracle, Inc. continues to expand our NSE topics and the number of trainers available. Some of our training topics include:

  • Biomedical interventions for Autism
  • Basic principles of Applied Behavior Analysis (ABA) and other educational approaches
  • Verbal Behavior (VB) training for family members
  • Picture Exchange Communication System (PECS)
  • Replacing problem behaviors with appropriate alternatives
  • Coping strategies
  • Dietary intervention (such as gluten- and casein-free diet)
  • Finding resources, services and materials for your child
  • Legal and advocacy issues
  • Identifying and minimizing sensory problems

NSE can also be used to pay for conference attendance fees. Please contact your local ASM office for more information or to request topics not listed above.

Specialized Consultative Services (SCS)

Specialized Consultative Services are currently available with:

  • Applied Behavioral Analysis (ABA) Consultant – two licensed Psychologists specializing in behavior modification and Verbal Behavior techniques with children with autism
  • Verbal Behavior (VB) Consultant – a licensed Speech/Language Pathologist specializing in Verbal Behavior treatment methodology
  • Recreational Therapist – two certified Recreational Therapists are now on staff to help families find recreational resources and opportunities to improve functioning and independence, as well as reduce or eliminate the effects of illness or disability.

Behavior Consultation is now know as Specialized Consultative Services (SCS/BC)
With the new Innovations Waiver, Behavioral Consultation has now been grouped under the same name as (SCS) Specialized Consultative Services. A Small Miracle, Inc. still provides this BC portion of SCS with selected practitioners we have contracted with.

SCS/BC services will provide assessment and treatment of the service recipient and support, training, and consultation to staff, family members, and primary caregivers who support the service recipient who exhibits extremely challenging behaviors.  These behaviors are frequently complicated by medical or mental health factors.

The behavioral techniques and interventions are designed to decrease challenging behaviors while increasing positive alternative behaviors, assisting participants in acquiring and maintaining the skills necessary to live independently in their communities and avoid institutional placement.  SCS/BC services may include assessing behavior; designing a behavior intervention plan; monitoring the plan; and training staff, family members, or primary caregivers on the implementation of the plan.