Appendix K Flexibilities Approved for Innovations and Traumatic Brain Injury Waivers

Flexibilities in the approved amendment will be effective March 1, 2024, and considered ongoing

The Centers for Medicare, and Medicaid Services (CMS) approved North Carolina Medicaid to continue certain Appendix K flexibilities in the 1915 (c) Innovations Waiver and Traumatic Brain Injury (TBI) Waiver amendment, effective March 1, 2024.  

CMS allows states to use Appendix K during emergency situations. During the public health emergency, it was used to support waiver members in their communities during the public health emergency.  

Some of the Appendix K flexibilities will end Feb. 29, 2024. NC Medicaid will work with the LME/MCOs to support members in transitioning from the Appendix K flexibilities that will be discontinued in the Innovations and TBI Waiver amendments by March 1, 2024.

For more information on flexibilities approved for the Innovations and TBI waivers, please see the NC Medicaid Innovations Waiver webpage


NC Medicaid Contact Center, 888-245-0179

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