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NC Department of Health and Human Services
NC Division of
Medical Assistance

NC Innovations

Welcome to NC Innovations

The North Carolina Innovations Waiver is a resource for funding services and supports for people with intellectual and other related developmental disabilities that are at risk for institutional care in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID).

N.C. Innovations is designed to provide an array of community-based services and supports to promote choice, control, and community membership.  These services provide a community-based alternative to institutional care for persons who require an ICF-IID level of care and meet additional eligibility criteria for this waiver.

N.C. Innovations seeks to support waiver participants be fully functioning members of their community by:

  1. Promoting promising practices that result in real-life outcomes for participants;
  2. Offering service options that will facilitate participants' abilities to live in homes of their choice, have employment, engage in a purposeful day of their choice, and achieve their life goals;
  3. Providing the opportunity for all participants to direct their services to the extent they choose; and
  4. Providing educational opportunities and support to foster the development of stronger natural support networks and enable participants to be less reliant on formal support systems.



The final draft NC Innovations Waiver amendment is ready for submission to the Centers for Medicare and Medicaid Services.  If you have any questions, comments or concerns, please send those to DMA via email at or via voicemail by calling 919-855-4968.


Home and Community Based Services Final Rule

North Carolina supports serving individuals with disabilities in the most integrated settings possible, based on what is clinically appropriate as defined by the individual’s person-centered planning process.

We believe that individuals with disabilities should have the opportunity to live in community settings that reflect community values and standards.

Through engaging beneficiary and provider stakeholders, we will create a plan that supports individuals through a person-centered process, builds upon our already existing system and supports providers to ensure compliance with rules. More information detailing North Carolina’s vision of Home and Community Based Services can be found at


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NC Innovations Waiver - Proposed Changes - Webinar Series

Webinar Series

  • Wed. Sept. 16      11 a.m.- noon     SIS for Person Centered Planning
  • We sincerely apologize for the technical difficulties during the Q&A portion of the Sept. 16 webinar. Please send questions or comments to or leave a voicemail message at 919-855-4968. All questions and answers from this webinar will be posted on the website.

  • Wed. Sept. 30      2 p.m.- 3 p.m.     Individual Budgets and Choice
  • Fri., Oct. 9           11 a.m.- noon      Care Coordination - RESCHEDULED, NEW DATE TBA
  • Mon., Oct. 26       3 p.m.- 4 p.m.     Roll Out Strategies
  • Tues., Nov. 17      9 a.m.-10 a.m.    Due Process and Appeal Rights
  • Thurs., Dec. 3       1 p.m.- 2 p.m.     Behind the Scenes – What happens with My Service Request?
  • Tues., Dec. 15     10 a.m.-11 a.m.    Topic Pending: Based on Stakeholder Feedback

LME/MCO Training Materials, Updated Documents, and FAQs

Mandatory training for LME-MCO care coordinators, IDD UM staff, SIS assessors, IDD Customer Service staff, and managers. 

Establishing a Resource Allocation Model for Service Recipients with Intellectual and/or Developmental Disabilities - Updated 3/15/15

Plan Approval Process for the NC Resource Allocation Model - Updated 3/24/15

IDD State Stakeholder Group

The N. C. DHHS IDD State Stakeholder Group provides feedback and recommendations to the State on proposed changes to the NC Innovations waiver .  The stakeholder group consists of representatives from the IDD community, including service recipients, family members, State and local CFACs, providers, provider associations and advocacy organizations.  All Stakeholder Group Meetings are held in Raleigh, NC on the Dorothea Dix Campus from 1:00 – 4:00 pm and are open to the public. 

IDD State Stakeholder Group Meeting Dates:

  • January 16, 2015 (Brown Building)
  • January 23, 2015 (Brown Building)
  • February 6, 2015 (Brown Building)
  • February 13, 2015 (Brown Building)
  • March 6, 2015 (Brown Building)
  • March 27, 2015 (Brown Building)

A map of the Dorothea Dix Campus can be found at:

Supports Intensity Scale™ Information

Additional Contact Information

Your feedback is important.  If you would like to provide feedback, suggestions or recommendations regarding the NC Innovations waiver program and services, please email us at  You may also leave a voice mail message at 919-855-4968. 

Additional information is available on the DMH/DD/SAS website. Ready NC Connect NC