The North Carolina Innovations Waiver is a means of funding services and supports for people with intellectual and other related developmental disabilities that are at risk for institutional care in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID).
NC Innovations is authorized by a Medicaid Home and Community-Based Services (HCBS) Waiver granted by the Centers for Medicare and Medicaid Services (CMS) under Section 1915 (c) of the Social Security Act.
Supports Intensity Scale (SIS)
For beneficiaries who are eligible for educational services under the Individuals With Disability Educational Act, Innovations waiver services do not include transportation to/from school settings. This includes transportation to/from beneficiary’s home or any community location where the beneficiary may be receiving services before/after school. Funding for transportation to/from school is the responsibility of the public school system and not Medicaid. Providers opting to provide transportation to/from school can do so as long as Medicaid is not be billed for time spent transporting.
Personal Care Services do not include medical transportation and may not be provided during medical transportation and medical appointments. Transportation to/from medical appointments by a Residential Supports provider are billed to the State Medicaid Plan rather than Innovations’ Residential Supports.
For additional clarification or information please refer to Clinical Coverage Policy 8P (NC Innovations Waiver).