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Special Assistance

Special Assistance is an assistance payment to eligible individuals who reside in licensed domiciliary homes, rest homes or family care homes. Medical assistance (Medicaid) is also provided to help pay medical bills.


To be eligible for this service you must be:

  • Age 65+
  • Disabled
  • Buncombe county resident
  • Meet reserve & income limits for program
  • FL-2, licensed facility

Appointment Procedure

  • Apply in person
  • Representative may apply

Helpful Items to Bring

  • Social Security Card
  • Birth Certificate
  • Income Verification

How are services paid for?

Program costs are paid by 50% county dollars and 50% state dollars.

Auto Eligibility

Individuals who qualify for certain cash assistance programs automatically qualify for Medicaid without a separate application. If cash assistance ends, the Medicaid may be continued if the individual meets the eligibility criteria for another type of Medicaid. The programs which include automatic Medicaid are:

  • Supplemental Security Income (SSI) for elderly, blind and disabled individuals
  • State/County Special Assistance (SA) assistance for payment of rest home expenses for elderly, blind and disabled individuals

Locate & Contact

Public Assistance / Economic Services


Phillip Hardin
CSS Program Administrator
P: (828) 250-5592

Call Center
P: (828) 250-5500
F: (828) 250-6235

Economic Services / Public Assistance
40 Coxe Avenue
Asheville, NC 28801

Find Parking

Hours of Operation

Monday - Friday
8:00 a.m. to 5:00 p.m.

Mailing Address

Health & Human Services
PO Box 7408
Asheville, NC 28802

Email Us

Report Abuse - To make a Protective Service Referral, call anytime day or night. No appointment is needed.
Do you suspect abuse?

To make an adult or child protective services report any time, day or night, call the numbers below:

Adult Abuse

Child Abuse

211 - Help Starts Here

United Way's 211
Interpreter Services Available
Free of Charge.
Servicios de intérprete están disponibles sin costo alguno.
Услуги переводчика предоставляются бесплатно