Public Comment on Innovation Waiver Draft Application Ends July 30

A draft application for § 1915 (c) NC Innovation Waiver is posted for a 30-day public comment period.

The public comment period is from June 30, 2023, through July 30, 2023. The Waiver can be accessed on the NC Medicaid State Plan Public Notices webpage.

Comments can be submitted to Medicaid.WaiverComment@dhhs.nc.gov.  Please share this notice with those in your organization and externally as needed. Thank you in advance for your review of this draft Waiver.

Summary of changes included in the Oct. 1, 2023, Innovation Waiver draft amendment:

  • Home delivered meals (up to one meal per day).
  • Waive requirement for beneficiary to attend the Day Supports provider once per week.
  • Direct care services may be provided in a hotel, shelter, church, or alternative facility-based setting or the home of a direct care worker because of COVID-19-related issues.
  • Real-time, two-way interactive audio and video telehealth for the following services:
    • Day Supports
    • Supported Employment
    • Supported Living
    • Community Networking
  • Increase the Innovations Waiver cost limit from $135,000 to $157,000 to ensure health, safety, and wellbeing.
  • Allow parents of minor children receiving Community Living and Support to continue providing this service to their children who have been indicated as having extraordinary support needs as evidenced by a Support Intensity Scale (SIS) score of E (Very High General Support), F (Extraordinary Medical Support), and G (Extraordinary Behavioral Support Need).
  • Allow relatives of individuals receiving Supported Living to continue providing this service.
  • Amend exclusions to Community Navigator definition, individuals may not receive this service unless they are self-directing one or more of their services through the Agency with choice or Employer of Record Model.

Contact

NC Medicaid Contact Center, 888-245-0179

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