North Carolina

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

North Carolina also has two adult-only waivers, CAP/DA and TBI.

Advocacy Organizations in North Carolina:

Last updated 11/4/22

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. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 4000
  • Expiration Date: 2/28/2022; renewal is in process but still being negotiated
  • Description from medicaid.gov: Provides in-home care aide service, financial management, assistive technology, case management, community transition, home accessibility and adaptation, institutional and non-institutional respite, participant goods and services, pediatric nurse aide services, specialized medical equipment and supplies, training, education and consultative services, vehicle modifications for individuals who are medically fragile, ages 0 – 20.
  • Online State Information: CAP-C Program or Program Page
  • Official Federal Information
  • How to Apply: Contact your closest Case Management Agency.
  • Waiting List: There are 15,000 people with developmental disabilities and 824 people with physical disabilities on North Carolina's waiting list; however, this waiver typically does not have a 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. Parent income is not counted.
  • Waiver Type: 1915(c) and 1915(b)
  • Spots: 13,138
  • Expiration Date: 6/30/2024
  • Description from medicaid.gov: Provides community navigator, community networking, day supports, residential supports, respite, supported employment, financial support services, assistive technology, community living and support, community transition, crisis services, home modifications, individual goods and services, natural supports education, specialized consultation, supported living- periodic, supportive living-transition, supportive living, vehicle modifications for individuals with with IID and DD, ages 0 - no max age.
  • Online State Information: Innovations Waiver
  • Official Federal Information: 1915(c) and 1915(b)
  • How to Apply: Contact your LME/MCO or contact 855-262-1946.
  • Waiting List: 15,000 people with developmental disabilities are on North Carolina's waiting list.
OTHER PROGRAMS