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NC Innovations Waiver

The NC Innovations Waiver is a Federally approved 1915 C Medicaid Home and Community-Based Services Waiver (HCBS Waiver) designed to meet the needs of Individuals with Intellectual or Development Disabilities (I/DD) who prefer to get long-term care services and supports in their home or community, rather than in an institutional setting. 

The Medicaid Innovations Waiver supports Individuals with I/DD to live the life they choose. Waiver services are administered by a local management entity/managed care organization (LME/MCO) which facilitate services and oversee a network of community-based service providers. Individuals who receive waiver funding work with their team to develop a Person Centered Plan of Care and request the services and supports they need. 

The following documents are from the NC Innovations Waiver amendment approved by the Centers for Medicare and Medicaid Services (CMS) and implemented on Nov. 1, 2016.

30-Day Posting For Public Comment - Oct. 23 - Nov. 22, 2018

Innovations 1915(c) Waiver - Updated Oct. 23, 2018 

To make comments on the Innovations 1915(c) Waiver (or to request a copy of the Waiver) please email or call 919-855-4968.


To be part of North Carolina’s Innovations Waiver, you must:

  • Meet the requirements for Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) level of care
  • Live in an ICF-IID or be at risk of being placed in an ICF-IID
  • Be able to stay safe, healthy and well in the community while using NC Innovations Waiver services
  • Need and use NC Innovations Waiver services listed in your person centered plan at least once a month
  • Want to use NC Innovations Waiver services instead of living in an ICF-IID

How to Apply

If you are eligible, your LME-MCO can help you get services. There are only a certain number of NC Innovations Waiver slots. If the slots are full, your name will be added to the Registry of Unmet Need.

Additional Resources


  • NC Medicaid Recipient Services: 919-855-4000
  • Division of Mental Health, Developmental Disabilities and Substance Abuse Services Customer Service: 855-262-1946