Innovation
Waiver Services

Meeting the needs
of individuals with IDD so that we can all live as independently as possible

The goal of the Innovations Waiver is to allow
individuals to live in the community with as much
independence as possible. Available throughout
North Carolina, Innovations Waiver can provide
one-on-one services and supports for each
participant, based on the individual’s assessed
needs.

The Innovations Waiver for Persons with I/DD is a special Medicaid community care funding source. Available throughout North Carolina, Innovations Waiver provides an array of services and supports tailored to an individual’s needs and wants. These services can be delivered in a variety of settings including your own home. Our staff are here to work with each client to support their needs, desires and dreams. That can take many different forms ranging from assisting with activities of daily living to learning and building new skills to enjoying art and other recreational activities.

Innovations Waiver Services

The NC Innovations Waiver provides people with intellectual and developmental disabilities with services and supports in their own community. This helps people live as independently as possible. Alliance Health manages the NC Innovations Waiver program in Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange and Wake counties.

Individuals can get intellectual and developmental disability services through Alliance Health who:

Live in Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, or Wake County

Due to a mental or physical disability or a combination of both

Begins before age 22 or is caused by a traumatic brain injury before age 22

Begins before age 22 or is caused by a traumatic brain injury before age 22

Get help with daily tasks at home, like bathing, dressing, cooking, budgeting and more. A trained worker will help you one-on-one based on your individual needs. Depending on where you live, this support at home is called different names:

If you live with your family, this service is called Community Living and Supports.

If you live in your own home, this service is called Supported Living or Community Living and Supports.

If you live in an out-of-home placement (like a group home), this service is called Residential Supports.

Residential Supports helps you live in a structured care setting of your choice, like group homes or Alternative Family Living settings. Get help with daily tasks, like bathing, dressing, cooking, budgeting and more. A trained worker will help you one-on-one based on your individual needs.

Day Supports are day programs, like workshops and after school programs. You might do things like volunteer, go out in the community or learn job skills.

Community Networking helps you meet people in your community. For example, a trained worker can go with you to volunteer or take a pottery class. Payment for classes and conferences is also included.

Community Living and Supports helps with everyday activities like grocery shopping and banking. A trained worker can go with you and teach you how to do these things on your own.

Crisis Services help prevent institutional placement or hospitalization. For instance, this service could help you if you are at risk of losing your job or home. you when there are situations that are dangerous to you or others. For example, they can help you if you might lose your job or home. The staff is trained and ready to help people with I/DD. Trained staff can help:

Identify the type of help you need

Connect you to agencies or psychologists

Create a crisis plan

People with the NC Innovations waiver will get a Tailored Care Manager to help them navigate services. They can answer questions about the NC Innovations waiver, help find doctors, arrange free rides to appointments and be the main point of contact for all things Medicaid.

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What Are Waiver & Funding Services?

Waiver and funding services are Medicaid-funded programs designed to provide individuals with IDD the care and support they need to live independently in their homes and communities rather than in institutional settings. These services are tailored to meet individual needs through person-centered planning and can include assistance with daily living, employment support, behavioral interventions, respite care, and access to assistive technology.

These services aim to promote independence, community integration, and a higher quality of life for individuals while also offering crucial relief and support to their families. Waiver and funding programs foster greater autonomy, inclusion, and long-term well-being by enabling individuals to thrive in their preferred living environments.

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Who is Eligible for Waiver & Funding Services?

Qualifying for IDD Waiver Services

Home and Community-Based Services (HCBS) waivers, like the Medicaid Innovations Waiver in North Carolina, or Family and Individual Supports Waiver in Virginia, help individuals with IDD access long-term care in their homes or communities instead of institutional settings. These services are managed by local agencies that help individuals create a personalized care plan based on their needs. To qualify, you generally need to:

Have an I/DD diagnosis and be eligible for Medicaid..

Meet the level of care requirements for an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID).

Be at risk of institutionalization and prefer community-based services.

Use waiver services monthly and agree to develop an individualized support plan (ISP).

Live in the state offering the waiver and not be enrolled in another Medicaid waiver or ICF/IID program.

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How This Process Works

Step 1: Determine Eligibility

Contact your state’s Local Management Entity/Managed Care Organization (LME/MCO) or equivalent agency to begin the screening process. They will assess eligibility based on diagnosis, level of care needs, and financial requirements.

Step 2: Submit a Waiver or 1915(i) Application

Complete the application for your state-specific waiver (e.g., NC Innovations Waiver or Virginia DD Waiver) or 1915(i) services. If you need assistance navigating this process, Amivie’s care coordinators are available to guide you.

Step 3: Receive Approval or Referral

Once your application is processed and approved, you’ll be referred to an Amivie intake specialist to explore how we can provide the care and services outlined in your waiver or 1915(i) plan. If additional application support is needed, our team is here to help.

Step 4: Develop a Personalized Care Plan

Work with Amivie to create a person-centered care plan tailored to your or your loved one’s unique needs, goals, and preferences. This plan ensures you receive the services and support necessary to thrive.

Step 5: Begin Services

After the care plan is finalized, we will match you with the right Direct Support Professionals (DSPs) or caregivers to deliver high-quality, reliable care. Services will begin, and our team will remain available to provide ongoing support and adjustments as needed.

Additional Information

NC Innovations Waiver

NC Innovations Waiver and How It Supports Families with Special Needs

Digital & Remote Paediatric Care

The Rise of Digital & Remote Paediatric Care: Transforming Child Health in the Modern Age

Diet for brain health

Nutrition for Healthy Aging: 12 Proven Strategies for a Longer, Healthier Life

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