NC Innovations Waiver

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The Medicaid Innovations Waiver help Individuals with Intellectual or Developmental Disabilities (I/DD) live a more independent lifestyle. The local management entity/managed care organization (LME/MCO) receives a set amount of money (capitation) each year that is used to help people get I/DD services.


Innovations Waiver Listening sessions
Join Dr. Courtney Cantrell, Director, Division of Mental Health, Developmental Disabilities and Substance Abuse Services for a discussion about the future of intellectual and/or developmental disability (IDD) services. She will talk briefly about IDD services and the direction North Carolina is headed, and then hear your ideas, suggestions and concerns.

The NC Innovations waiver amendment is was submitted to the Centers for Medicare and Medicaid Services (CMS) in October, 2015. Implementation of the waiver amendment is scheduled for April 1, 2016, pending CMS approval. If you have any questions, comments or concerns, please send those to DMA via email at or via voicemail by calling 919-855-4968.

The final draft NC Innovations Waiver amendment is ready for submission to the Centers for Medicare and Medicaid Services.


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 local management facility/managed care organization (LME/MCO) can help you get NC Innovations 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.


To learn more about these services, contact your local management facility/managed care organization (LME/MCO).

If you have feedback or questions, please email: