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It is strongly suggested that parents of children with intellectual and developmental disabilities call as early as possible to get their child added to the registry. The wait to receive full services is currently 10+ years.  The Innovations Waiver helps to provide respite, community services, assistive technology, home and vehicle modifications, residential services, and more. 

Innovations- Registry of Unmet Needs

The NC Innovations Waiver is a Federally approved 1915 C Medicaid Home and Community-Based Services Waiver (HCBS Waiver) designed to meet the needs of Individuals with Intellectual or Development Disabilities (I/DD) who desire to receive long-term care services and supports in their home or community.

The Medicaid Innovations Waiver supports Individuals with I/DD to live the life they choose. Waiver services are administered by Vaya Health who facilitates services and oversees a network of community-based service providers. Individuals who receive waiver funding work with their team to develop a Person-Centered Plan of Care and request the services and supports they need. 


To be part of North Carolina’s Innovations Waiver, you must:

  • Meet the requirements for 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 the community while using NC Innovations Waiver services

  • Need and use NC Innovations Waiver services listed in your person-centered plan at least once a month

How to Apply

If you are eligible, your LME-MCO can help you get services. There are only a certain number of NC Innovations Waiver slots. If the slots are full, your name will be added to the Registry of Unmet Need.


We strongly encourage parents of children who have an intellectual/developmental disability and may need Innovations Waiver services in the future to call to us to add your child to the registry now. To learn more about Innovations or the Registry of Unmet Needs, call Vaya’s Access to Care Line at 1-800-849-6127.

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