North Carolina

North Carolina currently has four home and community based 1915(c) waivers that serve children. One serves children only, while the others serve people of all ages. All waive parent income. See North Carolina’s services by population page for general information.

North Carolina also has an adult-only waiver, CAP/DA.

Advocacy Organizations in North Carolina:

Programs in North Carolina

COMMUNITY ALTERNATIVES PROGRAM FOR CHILDREN

Also called CAP-C

  • Target Population: Children who are medically fragile or technology dependent.
  • Ages: 0-20
  • Levels of Care: Nursing Facility, Hospital
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 1621 with proposed increase to 4000
  • Expiration Date: 6/30/2015 - currently on extension with many proposed changes being considered - see this page
  • Description from medicaid.govProvides personal care services, in-home respite care, personal care, case management, care advisor, financial management, nursing services, pediatric nurse aide in-home respite care, pediatric nurse aide services, caregiver training and education, community transition funding, home mods, in-home nurse respite, institutional respite, motor vehicle mods, palliative care-counseling and bereavement counseling, expressive therapies, personal assistant, adaptive tricycle, re-usable incontinence undergarments, and disposable liners for reusable incontinence undergarments for medically fragile individuals, ages 0 – 20.
  • Online State Information: CAP-C Program or Program Page or Parent Handbook
  • How to Apply: Contact your closest Case Management Agency.
  • Waiting List: 17,500 people with developmental disabilities and 191 children are on North Carolina's waiting list.
  • Advocacy/Support Group: Advocates for Medically Fragile Kids NC
INNOVATIONS
  • Target Population: Children and adults with developmental or intellectual disabilities.
  • Ages: all
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 12,488
  • Expiration Date: 7/31/2018
  • Description from medicaid.govProvides day supports, personal care, residential supports, respite, supported employment, assistive technology, community guide, community networking, community transition, crisis services, financial support services, home mods, in home intensive support, in home skill building, individual good and services, natural supports education, specialized consultation, vehicle mods for individual with IID and DD, ages 0 - no max age.
  • Online State Information: Innovations Waiver
  • How to Apply: Contact the Advocacy and Customer Service Section at 919-715-3197.
  • Waiting List: 17,500 people with developmental disabilities and 191 children are on North Carolina's waiting list.
  • Advocacy/Support Group: Let us know if there is one.
COMPREHENSIVE WAIVER
  • Target Population: Children and adults with developmental or intellectual disabilities, including autism, only in counties where the Innovations waiver is not available.
  • Ages: all
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 10,325
  • Expiration Date: 9/30/2017
  • Description from medicaid.govProvides adult day health, day supports, personal care, residential supports, respite, supported employment, behavior consultant, community transition, crisis respite, crisis services, home and community supports, home mods, individual caregiver training and education, individual goods and services (self-direction only), long term vocational supports, PERS, specialized consultative services, specialized equipment and supplies, transportation, vehicle adaptations for individuals with autism, DD, IID, ages 0 - no max age.
  • Online State Information: none
  • How to Apply: Contact the Advocacy and Customer Service Section at 919-715-3197.
  • Waiting List: 17,500 people with developmental disabilities and 191 children are on North Carolina's waiting list.
  • Advocacy/Support Group: Let us know if there is one.
SUPPORTS WAIVER
  • Target Population: Children and adults with developmental or intellectual disabilities, including autism, only in counties where the Innovations waiver is not available.
  • Ages: all
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 1150
  • Expiration Date: 9/30/2017
  • Description from medicaid.govProvides adult day health, day supports, home and community supports, personal care, respite, supported employment, behavior consultation, crisis respite, crisis services, home mods, individual and caregiver training, individual goods and services (SD only), long term vocational supports, PERS, specialized consultative services, specialized equipment and supplies, transportation, vehicle adaptation for individuals with autism, DD, IID, ages 0 - no max age.
  • Online State Information: none
  • How to Apply: Contact the Advocacy and Customer Service Section at 919-715-3197.
  • Waiting List: 17,500 people with developmental disabilities and 191 children are on North Carolina's waiting list.
  • Advocacy/Support Group: Let us know if there is one.
OTHER PROGRAMS