NC Innovations Waiver and Registry of Unmet Needs

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The NC Innovations Waiver helps individuals with intellectual/developmental disabilities (I/DD) receive services and supports in their home and participate in their community. It is a NC Medicaid waiver with a limited number of slots available. If slots are full, an individual will be added to the Registry of Unmet Needs. The Registry of Unmet Needs is the waitlist for the NC Innovations Waiver.

Vaya Health helps coordinate services for NC Innovations Waiver participants and their families. Vaya also works with local providers to support the needs of an individual with I/DD.

If you have questions about the NC Innovations Waiver, the waitlist, or want to apply, call the Vaya Member and Recipient Service Line. Our staff can answer questions for individuals enrolled in a Vaya health plan and help individuals seeking services in our region. Call 1-800-962-9003 Monday through Saturday between 7 a.m. and 6 p.m.

The NC Innovations Waiver is a federally approved 1915(c) Medicaid home- and community-based services waiver (HCBS waiver). It provides home- and community-based services and supports. These services and supports help individuals make their own choices and participate in their community.

Waiver services are designed to promote well-being, community integration, and the ability to achieve life goals. The NC Innovations Waiver includes services that:

  • Support personal needs and help with daily activities
  • Support you in living where you choose
  • Support you in spending your day in a way you choose
  • Provide education on how to be more integrated into the community
  • Support you to live more independently and managing your own services

Vaya manages NC Innovations Waiver services in these North Carolina counties: Alamance, Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Caswell, Chatham, Cherokee, Clay, Franklin, Graham, Granville, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Person, Polk, Rockingham, Rowan, Stokes, Swain, Transylvania, Vance, Watauga, Wilkes, and Yancey.

If you have questions about the NC Innovations Waiver, call the Vaya Member and Recipient Service Line at 1-800-962-9003 Mon. through Sat., between 7 a.m. and 6 p.m.

Ask to speak to someone about the NC Innovations Waiver or the waitlist, the Registry of Unmet Needs. A Member and Recipient Services staff person will tell you what information is needed and help you complete an application.

The Registry of Unmet Needs is a list of individuals waiting for a NC Innovations Waiver slot. Once an individual is added to the waitlist, some services and supports may be available to those who meet certain requirements while waiting for a NC Innovations Waiver slot.

NC Innovations Waiver slots are funded by the North Carolina General Assembly and allocated by the NC Department of Health and Human Services. Local management entities/managed care organizations (LME/MCOs), like Vaya, maintain the list of individuals waiting for a NC Innovations Waiver slot.

Vaya maintains the Registry of Unmet Needs for individuals living in Alamance, Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Caswell, Chatham, Cherokee, Clay, Franklin, Graham, Granville, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Person, Polk, Rockingham, Rowan, Stokes, Swain, Transylvania, Vance, Watauga, Wilkes, and Yancey counties.

To be added to the Registry of Unmet Needs or to explore the services and supports that may be available, call Vaya’s Member and Recipient Service Line at 1-800-962-9003 (TTY 711) Mon. through Sat., between 7 a.m. and 6 p.m.

Ask to speak to someone about the Registry of Unmet Needs. A Member and Recipient Services staff person will tell you what information is needed and help you complete an application. A Vaya staff person will contact you to tell you if your application meets the requirements for the NC Innovations Waiver and the Registry of Unmet Needs.

Learn more about NC Innovations Waiver slots and the Registry of Unmet Needs.

To receive NC Innovations Waiver services and supports, an individual must:

  • Meet the requirements for the Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) level of care
  • Live in an ICF/IID or be at risk of being placed in an ICF/IID
  • Be able to stay safe, healthy, and well in their home and community while using NC Innovations Waiver services
  • Need and use NC Innovations Waiver services listed in their person-centered care plan at least once a month
  • Want to use NC Innovations Waiver services instead of living in an ICF/IID
  • Live in North Carolina

If an individual is eligible, there will be a psychological evaluation that documents any impaired functioning other than a mental health disorder.

Participation in the NC Innovations Waiver is based on eligibility and availability. There are a limited number of slots available. Individuals who are eligible for the NC Innovations Waiver may have to wait for a slot to become available. While waiting for a slot, the individual’s name should be placed on the waitlist for the NC Innovations Waiver. The waitlist is called the Registry of Unmet Needs.

For questions about the NC Innovations Waiver or the Registry of Unmet Needs, call Vaya’s Member and Recipient Service Line at 1-800-962-9003 (TTY 711) Monday through Saturday, between 7 a.m. and 6 p.m.

Ask to speak to someone about the NC Innovations Waiver. A Member and Recipient Services staff person will tell you what information is needed and help you complete an application. A Vaya staff person will contact you to tell you if your application meets the requirements for the NC Innovations Waiver and the Registry of Unmet Needs.

Learn more about NC Innovations Waiver slots and the Registry of Unmet Needs.

To be added to the Registry of Unmet Needs, call Vaya’s Member and Recipient Service Line at 1-800-962-9003 (TTY 711) Monday through Saturday, between 7 a.m. and 6 p.m. Ask to speak to someone about the Registry of Unmet Needs. A Member and Recipient Services staff person will tell you what information is needed and help you complete an application.

After your application is submitted, a Vaya staff person will contact you to tell you if your application meets the requirements for the NC Innovations Waiver and the Registry of Unmet Needs. Some services and supports may be available to people who are on the Registry of Unmet Needs and meet certain requirements.

Learn more about NC Innovations Waiver slots and the Registry of Unmet Needs.

The wait time for an NC Innovations Waiver slot is based on how many slots are available. Individuals are encouraged to apply and join the Registry of Unmet Needs as soon as they find out they may need services.

Click to view the number of NC Innovations Waiver slots and number of individuals on the Registry of Unmet Needs in each of the counties Vaya serves.

Click to view the NC Department of Health and Human Services’ statewide Registry of Unmet Needs dashboard.

The North Carolina General Assembly approves the number of NC Innovations Waiver slots. The NC Department of Health and Human Services’ (NCDHHS’) Division of Health Benefits, also known as NC Medicaid, makes those slots available to LME/MCOs, like Vaya. Vaya will contact individuals on the Registry of Unmet Needs when their slot is available.

NC Innovations Waiver supports daily activities such as bathing, eating, working, developing friendships, and living an active lifestyle. The program includes some non-medical services, like respite and home modifications. These are not available under traditional Medicaid and may help keep individuals out of institutional settings.

NC Innovations Waiver services are based on your individual needs and may include:

  • Community networking
  • Day supports
  • Community living and support
  • Respite
  • Supported living
  • Supported employment
  • Assistive technology equipment and supplies
  • Transition from a facility to the community
  • Crisis services
  • Home modifications
  • Vehicle modifications
  • Natural supports education
  • Specialized consultation services
  • Individual goods and services needed to live independently
  • Community navigator (for individuals who self-direct their supports)

Self-direction is an opportunity to make your own decisions and take responsibility for them. It can provide more flexibility and the opportunity to take greater control of your life. You, a parent, or a legally responsible person may choose to direct one or more of these NC Innovations Waiver services:

  • Community living and support
  • Community networking
  • Natural supports education
  • Supported employment
  • Individual goods and services
  • Respite
  • Supported living

A community navigator helps you advocate for yourself while providing support to pursue a life meaningful to you. Community navigators can help you meet people, identify local activities, and find resources to achieve your goals. If needed, a representative may be selected to help you direct your services.

There are two ways to direct your services and supports: Agency with Choice or Employer of Record.

Agency with Choice

Under this model, you work with a health care provider that will hire, supervise, and manage support workers. The provider will train, pay the support workers, and manage other administrative duties. You, or your legally responsible person, is known as the managing employer.

Employer of Record

Under this model, you, your family, or legally responsible person will hire, supervise, and manage support workers. You will have help from a financial support services agency (FSSA). The Employer of Record participates in developing your plan and schedules, trains, and supervises staff, as well as ensures your health and safety.

Self-directing your own services may help you:

  • Maintain greater control and flexibility about your services
  • Make your own decisions and plans for your future
  • Decide what type of support you want and need to live your life
  • Choose who to hire and how to train service providers
  • Improve the quality of services
  • Increase your independence and self-sufficiency

Remember, you may return to provider-directed services at any time. NC Innovations Waiver participants who would like more information on how to begin self-directing services may talk with their care manager. Individuals and providers seeking additional information may call the provider number at 1-866-990-9712 (Monday through Saturday, between 7 a.m. and 6 p.m.).

Learn more about Individual and Family Directed Services.

As the first step in the person-centered planning process, Vaya will arrange for your services and support needs to be identified using the Supports Intensity Scale™ (SIS). The SIS is an assessment tool. There will be interviews that focus on the support needs of an individual with I/DD.

All assessments include interviews with people you know well, such as family members, guardians, friends, staff from residential settings or day programs, teachers, and personal caregivers.

The information gathered from SIS interviews is used to help develop your care plan, also called an Individual Support Plan (ISP). After the first assessment, children receive new assessments every two years. Adults receive new assessments every three years. A major life change or event may mean a new SIS assessment will be conducted prior to your scheduled re-assessment date.

Not necessarily. An individual with a Standard Plan can remain with the Standard Plan until an NC Innovations Waiver slot becomes available – then they will switch to Vaya.

An individual on the Registry of Unmet Needs may switch to Vaya before receiving a NC Innovations Waiver slot if the services the person needs are not offered through their current plan.

Yes. Your NC Innovations Waiver services can move with you across North Carolina. If you move out of North Carolina, you will lose your NC Innovations Waiver slot or your place on the waitlist – the Registry of Unmet Needs.

It is important to let your care manager know of any address change. Your care manager and your local Department of Social Services (DSS) will let you know if a move will affect your Medicaid eligibility and Vaya enrollment.

It is important that your local DSS to always have the information they need to update your Medicaid eligibility and that you read and respond to all letters they send you.

For additional information, contact your care manager or call Vaya Member and Recipient Services at 1-800-962-9003 (TTY 711).

Registry of Unmet Needs Training

Vaya offers Registry of Unmet Needs Training sessions. Participants will receive an overview of NC Innovations and the Registry of Unmet Needs (RUN). Participants will learn the steps to apply for the Registry of Unmet Needs as well as become familiar with some available services under NC Innovations. This virtual training is available to people interested in the Registry of Unmet Needs, stakeholders, and community members.

Find an upcoming date on our calendar.

Innovations Stakeholder Group

To better serve you and your family, we host quarterly NC Innovations Stakeholders meetings to share news information about the program.

Click here for more information