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

1915(b)/(c) Medicaid Waiver for MH/DD/SA Services

 

2014 I/DD Stakeholder Listening Session Schedule

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Due Process Training


Waiver Renewal


DHHS Waiver Advisory Committee (DWAC)


The DHHS Waiver Advisory Committee (DWAC) is an advisory body to DHHS that will provide input and consultation over the following:

  1. Implementation / Operational phases of the 1915 b/c Medicaid waivers
  2. Ongoing LME-MCO operations (Medicaid managed care, Innovations, and LME operations)

Learn more about DWAC.

 

LME-MCO


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).

The Innovations waiver 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.

Fact Sheets and Presentations


Special Medicaid Bulletins and News Alerts


Contracts and Forms


MCO-Provider Contracts

Gold Star Rating and Monitoring Process for Providers


Effective July 1, 2012, all LMEs and LME-MCOs will use the Gold Star Rating and Monitoring Process for Providers to conduct provider monitoring.
This practice is consistent with the 1915 b/c Medicaid Waiver model developed by PBH and retains fidelity to that model pursuant to S.L. 2011-264. To standardize the process across the state, DHHS has provided the following tools for LMEs and LME-MCOs. In order to access the tools, you may download them from the following links:


Financial Reporting Requirements


Reports and Statistics


Additional Contact Information


All waiver-related questions should be submitted by e-mail to DMA.waiver@dhhs.nc.gov.

Additional information is also available on the DMH/DD/SAS website.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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