I/DD Systems of Services

NC Innovations Waiver

The NC Innovations Waiver is a Medicaid program that serves people who would otherwise live in an intermediate care facility for people with intellectual disabilities (ICF/IID). This program gives people the opportunity to live in a community setting instead of an institution or group home.

To qualify for the Innovations Waiver:

  • The 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 waiver operates under a Medicaid Home and Community-Based Services (HCBS) waiver granted by the Centers for Medicare and Medicaid (CMS). CMS must approve the services, the number of individuals that may participate and other aspects of the program. NC Medicaid provides oversight of waiver issues.

Medicaid information

I/DD Stakeholder Group

The I/DD Stakeholder Group reviews proposed changes to the Innovations Waiver and recommends ways to better provide meaningful services to the individuals receiving waiver services. This group includes individuals representing consumers, families, providers and advocacy groups. All I/DD Stakeholder Group meetings are open to the public.

IDD Stakeholder Group Information

Home and Community Based Services (HCBS)

HCBS regulations are being put in place to help eligible individuals gain full access to the benefits of community living and can access services in the most integrated setting.

Statewide Transition Plan Toolkit

HCBS Stakeholder Group

The HCBS Stakeholder Group reviews the plan and will monitor its implementation. The group includes consumers, families, providers and advocacy groups.

NC Support Needs Assessment Profile (NC-SNAP)

The NC-SNAP is a needs assessment tool that, when administered properly, measures an individual's level of intensity of need for intellectual/developmental disabilities (I/DD) supports and services.


Crisis Services
NC Support Needs Assessment Profile (NC SNAP)
NC Money Follows the Person Demonstration Project
Traumatic Brain Injury