Finding the right care and support for individuals with intellectual or developmental disabilities (I/DD) can feel overwhelming, but it doesn’t have to be. The North Carolina (“NC”) Innovations Waiver is a lifeline for many, offering tailored home and community-based services (HCBS) that empower individuals to lead independent, fulfilling lives.
This guide explores the key components of the NC Innovations Waiver, its associated 1915(i) Medicaid Service alternative and how Maxim Healthcare Services’ person-centered approach can help those in need. Whether you’re a caregiver, family member or someone seeking assistance, this guide highlights services that are designed to meet unique needs, foster community connections and enhance quality of life.
Understanding the NC Innovations Waiver
The NC Innovations Waiver is a federally approved 1915(c) Medicaid Home and Community-Based Services (HCBS) Waiver that was designed to meet the needs of individuals with intellectual or development disabilities (I/DD) who prefer to get long term care services and support in their home or community, rather than in an institutional setting.
Rather than conforming to a one-size-fits-all healthcare model, the NC Innovations Waiver focuses on empowering individuals to live the life they choose. By emphasizing person-centered care, recipients can access tailored support aligned with their unique preferences and goals. Local management entities and managed care organizations (LME and MCOs) administer the program, oversee provider networks and facilitate person-centered planning for beneficiaries once they receive waiver funding.
Key features of the NC Innovations Waiver
This waiver creates personalized care plans. Every individual works with an appointed care team to develop a unique, person-centered plan that identifies the services and support necessary to enhance their independence and quality of life.
It also focuses on community integration – prioritizing services that enable individuals to engage with their communities and live fulfilling lives either in their own homes or among natural support.
The waiver has diverse and tailored services that range from community networking and living support, to respite care and supported employment – all designed to accommodate the varied needs of individuals in the program.
What Is the 1915(i) Medicaid Program?
The NC Innovations Waiver has a 15+ year waiting list, so for those who may not qualify for a waiver or find themselves waiting for one, the 1915(i) Medicaid program serves as an invaluable alternative. Individuals experiencing serious mental illness, severe substance use disorders, traumatic brain injuries or I/DD are eligible for this program.
Services Covered under 1915(i)
The 1915(i) Medicaid program is designed to help eligible individuals maintain their independence, allowing them to stay at home and live within their communities. Additionally, the program allows for teaching individuals new skills, whether for employment, community involvement or independent living, fostering personal growth and opportunities. Importantly, for those on the waitlists for the NC Innovations or TBI Waiver programs, enrolling in 1915(i) services will not affect their position, creating accessibility without disruption.
The MCOs managing care in North Carolina
Local Management Entities or Managed Care Organizations (MCOs) are responsible for managing care for NC Medicaid beneficiaries. They work closely with providers and recipients to see if services are delivered effectively. MCOs in North Carolina include the following: Alliance, Partners, Vaya and Trillium.
Services Maxim provides through the NC innovations waiver
At Maxim Healthcare Services, we proudly provide several services tailored to fit the needs of recipients of the NC Innovations Waiver. Our services are designed to cultivate independence, enhance quality of life and align with personal goals.
1. Community living and support (CLS)
Community living and support focuses on enabling individuals to live successfully in the home of their choice. Paraprofessionals assist clients with daily living activities such as bathing, dressing, meal prep, cleaning and transportation to and from activities. They can also help individuals learn new skills and participate in meaningful community activities. Each support plan is personalized to align with the individual’s preferences and life goals.
2. Community networking (CN)
Community networking provides participants with individualized day activities to create a meaningful experience in integrated community settings. These activities focus on fostering connections with others in community spaces and generally take place outside of the participant’s residence.
3. Respite care
Our respite care service offers temporary relief for the primary caregiver or family members, as detailed in the individual’s support plan. This service creates opportunities for families to recharge while their loved ones receive quality care.
4. Supported employment (SE)
For individuals aged 16 and older, supported employment helps participants find, acquire and maintain meaningful employment. Whether competitive employment is a new goal, or certain obstacles need to be overcome for continued work success, supported employment is an essential resource.
Why choose Maxim?
Our mission is rooted in empowering those we serve to live fulfilling lives. By combining professional expertise with compassionate care, Maxim can make a meaningful difference.
Maxim is able to provide services covered by NC Innovations Waiver and Section 1915(i) in six North Carolina locations: Charlotte, Asheville, Greensboro, Raleigh, Greenville and Wilmington.
The Maxim advantage
- Person-centered planning
We honor every individual’s preference, so their care plan reflects what truly matters to them.
- Experienced team
Every team member is dedicated to delivering quality services.
- Community connection
Our services emphasize the importance of community involvement, creating opportunities for individuals to engage meaningfully with those around them.
If you are eligible for the NC Innovations Waiver or Section 1915(i), Maxim Healthcare Services is here to help. Our compassionate professionals are ready to partner with you and your loved ones for quality care and a fulfilling life. To learn more, visit our Habilitations Services page.
