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


In 2011, the North Carolina legislature passed a new law (Session Law 2011-264) (PDF, 33k) Link to site outside of N.C. DHHS. The law calls for DHHS to change how services are delivered. Among the changes:

  • The 23 Local Management Entities will become 11 Managed Care Organizations known as LME-MCO's.
  • Services for people with I/DD will be funded through a Medicaid Home and Community Based waiver called "Innovations."
  • People will be assigned an Individualized Budget Amount to get services based on their needs. Support needs will be measured by the Supports Intensity Scale® (SIS) assessment. The SIS measures the level of support a person needs for daily life activities.

DHHS calls these changes "Innovations Plus" because it is based on the Innovations waiver started at Cardinal Innovations LME-MCO (formerly known as Piedmont Behavioral Health, or PBH). Soon the Innovations Plus program will be offered statewide.

When Innovations Plus will begin

The first steps in this process are underway. A sample group of people receiving services are being scheduled for assessment of their support needs. Information on how much services cost around the state is being collected. All the information will be used to set budgets for people to get their services. Each of these steps takes time, but DHHS expects that Innovations Plus will be ready to go in 2013.






April 21, 2014