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Reminder: Innovations Waiver changes coming Nov. 1, 2016

Reminder: Innovations Waiver changes coming Nov. 1, 2016

Publication Date: September 20, 2016

Sandhills Center is issuing a reminder to indivduals and families who receive North Carolina Innovations Waiver services that significant changes go into effect on Nov. 1, 2016.

The Medicaid-funded NC Innovations Waiver is a resource for funding services and supports for people who are at risk for institutional care in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID). The waiver helps children and adults to live independently within their communities. It promotes choice, control and community integration. Those who receive the waiver must meet Medicaid eligibility criteria. Changes to the waiver are a result of a national effort to promote least-restrictive service settings for individuals with intellectual and developmental disabilities and more meaningful consumer impact on their services.

In making changes to the Innovations Waiver, the North Carolina Department of Health and Human Services (DHHS) partnered with people who receive services and their families, LME-MCOs, providers and advocacy groups. The focus of these changes is to make services more individualized and person-centered, as well as offering more choice, self-direction and flexibility.

Included in the changes are:

After Nov. 1, individuals and families can choose from an array of services until the right combination of supports and services is determined. Care coordinators share information about services and rely on a planning team to make decisions. Individual budgets have been created to provide guidance for choosing services through Individualized Service Plans (ISPs). These budgets are determined by age of the member, living arrangements and the person’s assessed needs. Sandhills Center is committed to keeping individuals, families and stakeholders informed about important changes to services and funding resources. Those who have questions are urged to contact their Care Coordinator at 1-800-256-2452. For more information, visit the NC Innovations Waiver website at, or

Sandhills Center is the Local Management Entity-Managed Care Organization (LME-MCO) that oversees Innovations Waiver funding for services within the nine counties of Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph and Richmond in central North Carolina.