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North Carolina Department of Health and Human Services Public Policy Update


Innovations Waiver Up for Renewal – Public Comments Needed

The North Carolina Department of Health and Human Services has notified us that the Innovations waiver is up for renewal. In NC our Innovations (1915c) waiver is generally approved for five years.   

The NC 1915(c) Home and Community-Based Services Innovations Waiver’s current 5-year cycle period will expire on June 30, 2024. NC Medicaid’s goal is to renew the waiver with an effective date of July 1, 2024, for the continuity of program planning. 

Innovations Waiver Up for Renewal - Community members hold a meeting to discus policy changes.

Webinars are planned for February 29 and March 6, 2024, to provide information about the renewal project plan. The webinars are scheduled from Noon to 1:00 PM. 


The North Carolina Department of Health and Human Services (DHHS) has published the draft application to renew its Home and Community-Based Waiver (HCBS/Innovations, formerly known as CAP) for people with intellectual and developmental disabilities (IDD). This is known as the Innovations waiver. The draft application for the 1915(c) NC Innovations Waiver is posted for a 30-day public comment period. The public comment period is from Feb. 9, 2024, through March 12, 2024. Comments can be submitted here. Written comments may be sent to the following address: 

North Carolina Department of Health and Human Services 
Attn: NC Medicaid HCBS 1915(c) Innovations Waiver Team
1950 Mail Service Center
Raleigh, NC 27699-1950

After processing public comments, the state will continue the steps necessary to submit the application to the federal Centers for Medicare & Medicaid Services (CMS) for approval. Once CMS approves the waiver renewal application, DHHS will begin implementing the changes. 

The Autism Society of North Carolina and many other stakeholders, including families and people receiving services, will participate in the webinars (see above) and make comments throughout the draft period.  

Please take the time to review the document and submit comments to DHHS with needed changes from your perspective by March 12. ASNC will provide updates as it learns more throughout the year.

If you have questions, please do not hesitate to contact Kerri Erb, Chief Program Officer, kerb@autismsociety-nc.org. 

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