NC Resources

NC Innovation Waiver services offered by Special K Enrichment, Inc.:
(available at both the Charlotte and Gastonia Offices)

  • B3 Respite
  • Community Networking
  • Day Supports- Individual
  • Day Supports- Group
  • Intensive In Home Services
  • In Home Skill Building
  • Personal Care Services
  • Respite Services
  • Residential Supports
  • Supported Employment
  • Community Living and Support


What is the NC Innovation Waiver?

(https://cardinalinnovations.org/nc-innovations-waiver)

The North Carolina Innovations Waiver provides services and supports to individuals with intellectual and developmental disabilities to have a life in the community of their choice, which includes where they live, how they spend their day, have fun and build relationships.

Waivers provide access to Medicaid funding for eligible individuals for whom states may "waive" certain Medicaid requirements. NC Innovations allows funding to provide community-based services and supports that promote choice, control and community integration as an alternative to institutional care. To be eligible for Innovations services, you must be eligible for or have Medicaid and be at risk for institutional care in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID).

This website provides information to assist you in understanding and using NC Innovations services.

Waiver Technical Amendment

In July 2016, the Centers for Medicare and Medicaid Services (CMS) approved an amendment to the NC Innovations Waiver. Service changes under this amendment were implemented on November 1, 2016.

 

Special K Enrichment, Inc. is currently contracted with two MCOs under the I/DD Innovation Wavier programs:

 

Cardinal Innovations Healthcare Solutions (Mecklenburg County)

http://www.cardinalinnovations.org/nc-innovations-waiver/services

 

Partners Behavioral Health Management (Lincoln, Cleveland, and Gaston counties)

http://www.partnersbhm.org/

 

 

NC INNOVATIONS WAIVER

The North Carolina Innovations Waiver is a resource for funding services and supports for individuals with intellectual and developmental disabilities who are at risk for institutional care in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID).

NC Innovations provides an array of community-based services and supports that provide a community-based alternative to institutional care and promote choice, control and community integration. Individuals on NC Innovations must meet eligibility criteria, including having or being eligible for Medicaid.

 

Special K Enrichment, Inc. offers the following services below for I/DD participants:

 

Community Networking

http://www.cardinalinnovations.org/docs/Community_Networking_Service_Definiton_010912.pdf

 

Day Supports

http://www.cardinalinnovations.org/docs/Day_Supports_Individual_Service_Defintion_010912.pdf

 

In-Home Intensive Supports

http://www.cardinalinnovations.org/docs/In-Home_Intensive_Supports_Service_Definition_010912.pdf

 

In-Home Skill Building

http://www.cardinalinnovations.org/docs/In-Home_Skill_Building_Service_Defintion_010912.pdf

 

Personal Care/Specialized Rate Personal Care

http://www.cardinalinnovations.org/docs/Personal_Care_Service_Defintion_010912.pdf

 

Residential Supports

http://www.cardinalinnovations.org/docs/Residential_Supports_Service_Definition_010912.pdf

 

Respite

http://www.cardinalinnovations.org/docs/Respite_Service_Defintion_010912.pdf

 

Supported Employment Services

http://www.cardinalinnovations.org/docs/Supported_Employment_Services_Service_Definition_010912.pdf

 

B3 Respite (Cardinal Innovations Healthcare Solutions only)

http://www.cardinalinnovations.org/docs/cardinal-innovations-b3-respite-final.pdf#search=B3%20Respite

 

Community Alternatives Program for Children

The Community Alternatives Program for Children (CAP/C) seeks to allow participants who need long-term institutional care to return to or remain in the community.  It is designed to serve a limited number of medically fragile children who would be institutionalized in a nursing facility or hospital if payment for home care services were not available through this Medicaid CAP/C waiver.  CAP/C exists to supplement rather than replace the formal and informal services and support already available to a child.  THE CAP/C program is authorized by a Division of Medical Assistance (DMA) Home and Community-Based Services Waiver (HCBS) granted by the Centers for Medicare and Medicaid Services (CMS) under Section 1915© of the Social Security Act.  HCBS waivers are approved by CMS for a specified time period and can be renewed, amended, or terminated by CMS. The HCBS waiver establishes the requirements for program administration and funding.  Federal regulations for HCBS waivers are found in 42 CFR 441.300 through 310.

 

CAP/C (Children) and CAP/DA (Disabled Adults) services offered by Special K Enrichment, Inc (available in Charlotte and Gastonia)

 

Special K Enrichment, Inc. offers CAP/DA and CAP/C

Personal Care and Respite:

The Community Alternatives Program for Disabled Adults (CAP/DA) is a special Medicaid program under the Community Care Section of the Division of Medical Assistance. The program makes care at home a real possibility for many people who face nursing home placement. When the program began in 1982, four counties participated.  It is now available in all 100 counties.

The CAP/DA program waives certain NC Medicaid requirements to furnish an array of home and community based services to adults with disabilities 18 years of age and older who are at risk of institutionalization. The services are designed to provide an alternative to institutionalization for beneficiaries in this target population who prefer to remain in their primary private residences, and would be at risk of institutionalization without these services.

The Community Alternatives Program for Children (CAP/C) provides cost-effective home care for medically fragile children (through age 20) who would otherwise require long-term hospital care or nursing facility care. The program contributes to the quality of life for the children and their families/caregivers, while providing care that is cost-effective in comparison to the Medicaid cost for institutional care.

TO FIND OUT IF SOMEONE QUALIFIES FIND YOUR LOCAL AGENCY FROM WEBSITE BELOW AND CALL WITH QUESTIONS-MUST HAVE NC MEDICAID:

http://www.ncdhhs.gov/dma/cap/CAPDA_ContactList_050214.pdf

http://www.ncdhhs.gov/dma/cap/capc/CAPC_Contacts_by_County_071514.pdf

 

Special K Enrichment, Inc. also offers PCS-Personal Care Services

The Personal Care Services (PCS) program is a Medicaid State Plan benefit designed to provide personal care services to individuals residing in a private living arrangement, or a residential facility licensed by the State of North Carolina as an adult care home, or a combination home as defined in G.S. 131E-101(1a).G.S. 131E-101(1a); or resides in a group home licensed under Chapter 122C of the General Statutes and under 10A NCAC 27G .5601 as a supervised living facility for two or more adults whose primary diagnosis is mental illness, a developmental disability, or substance abuse dependency.

Personal Care Services (PCS) are available to individuals who have a medical condition, disability, or cognitive impairment and demonstrates unmet needs for, at a minimum three of the five qualifying activities of daily living (ADLs) with limited hands-on assistance; two ADLs, one of which requires extensive assistance; or two ADLs, one of which requires assistance at the full dependence level. The five qualifying ADLs are eating, dressing, bathing, toileting, and mobility.

PCS program eligibility is determined by an independent assessment conducted by the Division of Medical Assistance or its designee; and shall be provided in accordance with an individualized plan of care.

 

The Division of MH/DD/SA

The Division's organizational structure is designed to implement the State Plan and reform efforts. The substance of the Division's goals and objectives will guide the development of the workings of the Division and that work will be carried out through this organizational structure.

The Division's central administration consists of the Director's Office and five sections organized along functional lines. The five sections of the Division are State Operated Healthcare Facilities, Community Policy Management, Resource/Regulatory Management, Advocacy and Customer Services, and Operations Support. The Division's state facilities consist of four regional psychiatric hospitals, four developmental disabilities centers, three substance abuse treatment centers, a specialty nursing facility for consumers with mental illness, a specialty nursing facility for consumers with developmental disabilities, and two residential facilities for children with emotional disorders.

North Carolina MH/DD/SA announcements

North Carolina MH/DD/SA communication bulletins

North Carolina MH/DD/SA implementation updates

What is North Carolina Medicaid?
http://www.ncdhhs.gov/dma/medicaid/


Special K Enrichment, Inc. is endorsed by the following two LMEs-Local Management Entities:

Cardinal Innovations Healthcare Solutions - website

4855 Milestone Avenue
Kannapolis, NC 28081
Phone: 704-939-7700
Fax: 704-939-7907
24-hour Access/
Crisis Number:
1-800-939-5911

Partners Behavorial Health Managment - website

901 S. New Hope Rd.
Gastonia, NC 28054
Phone: 704-884-2501
Fax: 704-854-4809
24-hour Access/
Crisis Number:
800-898-5898

Managed Care Organizations (MCOs) are agencies of local government-area authorities or county programs-who are responsible for managing, coordinating, facilitating and monitoring the provision of mental health, developmental disabilities and substance abuse services in the catchment area served. MCO responsibilities include offering consumers 24/7/365 access to services, developing and overseeing providers, and handling consumer complaints and grievances.

Special K Enrichment, Inc. is nationally endorsed by CARF - website