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North Carolina Department of Health and Human Services North Carolina Medicaid Division of Health Benefits AGED, BLIND AND DISABLED MEDICAID MANUAL MA-2282

INNOVATIONS

REVISED 12/17/18– CHANGE NO. 11-18

I. INTRODUCTION

NC Innovations is a 1915(c) waiver that operates concurrently with the 1915(b) NC MH/IDD/SAS Health Plan. The Waiver allows Medicaid funds to be used to provide home and community-based services to Medicaid beneficiaries. These services provide both medical and non-medical home and community-based services to prevent or delay institutionalization.

To receive Innovations services an applicant/beneficiary must meet the Medicaid eligibility requirements in one of the following programs:

A. MAABD (Medicaid for the Aged, Blind and Disabled)

B. MAF (Medicaid for Adults and Families)

C. MIC (Medicaid for Infant and Children)

D. MPW (Medicaid for Pregnant Women)

E. I-AS (Foster Care and Adoption)

F. H-SF (State Foster Care)

G. SAAD (Special Assistance for the Aged and Disabled)

II. INNOVATIONS PARTICIPATION

Innovations provides community-based services to individuals who:

A. Are any age

B. Are in need of Intermediate Care Facility (ICF) and

C. Are in need of Intellectual and Developmental Disabilities (IDD) level of care