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NC Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

I/DD System of Services


Initiatives for Advancing the I/DD System


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

The Waiver operates under a Medicaid home and community-based services waiver granted by the Health Care Financing Administration (HCFA). HCFA approves the services, the number of individuals who may participate, and other aspects of the program. Participants must be at risk of institutionalization. The Medicaid cost for community care must be cost effective in comparison to the cost of ICF-IID care.The Division of Medical Assistance, as the State Medicaid Agency, provides oversight of Medicaid and waiver issues. Find Medicaid information. Local Management Entities (LME/MCOs) are responsible for operation at the local level.

Home and Community Based Services (HCBS) STAKEHOLDER GROUP

North Carolina is required to develop and submit a plan by March 2015 to the Centers for Medicare and Medicaid Services (CMS) on how North Carolina will bring the Innovations Waiver into compliance with the new Home and Community Based Standards. The steps outlined in the plan must be completed by 2019. (Statewide Transition Plan Toolkit)

The new HCBS standards ensure that individuals receiving services and supports through these programs have full access to the benefits of community living and are able to receive services in the most integrated setting.

The HCBS Stakeholder Group reviews and discusses the proposed plan components and assists in the development of the HCBS implementation plan, education about Home and Community Based Services and in monitoring the plan's implementation. The HCBS Stakeholder Group includes consumers, families, providers and advocacy groups. The public may attend and observe these meetings. New meeting schedule to be announced.

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 – 4:00pm and are open to the public. 
IDD State Stakeholder Group Meeting Dates:

  • October 31, 2014  (Brown Building)
  • November 7, 2014  (Brown Building)
  • November 21, 2014  (Clark Building)
  • December 5, 2014  (Brown Building)
  • December 19, 2014 (Brown Building)

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

I/DD Listening Tour

During September and October 2014, Dave Richard, Deputy Secretary of Behavioral Health and Developmental Disabilities Services, held a statewide Listening Tour on "moving the I/DD system forward." Mr. Richard and representatives from the NC Division of Medical Assistance (DMA) and the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS) wanted to hear ideas, suggestions and concerns that the public has regarding the I/DD System. Responses to these meetings to be announced.



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