This site is permanently under construction!  We will keep answering your questions - as best we can - until there are no more!

How do we get accurate, up to date County and MCO numbers?

Each MCO has a "dashboard" that maintains this information by county.  It is required by statute.  It will include numbers presently being served on the Innovations Waiver as well as those on the Registry of Unmet Needs.  Each MCO has a staff person who oversees the Registry.  

Ask for the person in your MCO who oversees the Registry. (See NC Registry tab)

Do all MCO’s handle/assign the Innovations Waiver the same way?

Yes and No.  Slots are awarded to the all MCO’s at the same time based on the same formula from DHHS, when the money is appropriated by the General Assembly and approved by the Governor.  Each MCO will generally  hold a portion of their number for  “emergency” or guaranteed veteran allocations throughout the year.  The number of counties in the MCO and the formula for dispersal from DHHS may impact the speed and sequence in which each MCO makes their award.

What is an emergency slot?

Extreme change in circumstances, such as a death in the family or exceptional medical changes.

How is the award determined?

The SIS (Supports Intensity Scale) is a major factor along with the ISP (Individual Service Plan) developed each year with the individual, their family and/or other supporters.

What are unmet needs?

Unmet needs may be defined as unfulfilled necessities of program participants that are important to achieving independence, safety, quality of life, and access to participation in normal community life.

How much does the legislature budget?

As a candidate, Biden issued a wide-ranging disability plan that called for “full equality.” He committed to backing an increase in Supplemental Security Income benefits, fully funding the Individuals with Disabilities Education Act, phasing out subminimum wage and adding support for direct care providers as well as family caregivers.

What’s more, Biden said he would appoint a director of disability policy at the White House and push for legislation guaranteeing the choice to receive services in the community that was affirmed by the U.S. Supreme Court’s decision in Olmstead v. L.C.

In a separate plan aimed at tackling the nation’s “caregiving crisis,” the president-elect said he would provide funding to cover Medicaid home- and community-based services for everyone with a disability who’s currently on a waiting list.