SPECIAL BULLETIN COVID-19 #136: NC Medicaid Receives Approval for Expanded Flexibilities for Home and Community Services - NC Innovations Waiver

Wednesday, September 23, 2020

NC Medicaid has received federal approval of additional flexibilities during the COVID-19 pandemic for the NC Innovations Waiver, for individuals with intellectual and developmental disabilities (IDD).

During federally declared emergencies, states can submit requests to ease certain waiver requirements through an Appendix K. NC Medicaid received approval of Appendix Ks for all four waivers from the Centers for Medicare and Medicaid Services (CMS), effective March 13, 2020, to March 12, 2021.   

NC Medicaid submitted a third Appendix K for the NC Innovations to CMS. The following modification in scope and coverage during the COVID-19 pandemic was approved effective Aug. 17, 2020, to March 13, 2021:

The following language is additive to the state’s current approved waiver definition for this service: Respite may be utilized during school hours for sickness, injury, when a student is suspended or expelled, or School hours during the public health emergency that necessitates remote learning. 


Medicaid Contact Center: 888-245-0179