NC Innovations Waiver

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 prefer to get long-term care services and supports in their home or community, rather than in an institutional setting.

NC Innovations Waiver Services from Covenant Case Management Services
The Medicaid Innovations Waiver supports Individuals with I/DD to live the life they choose. Waiver services are administered by a local management entity/managed care organization (LME and MCO) which facilitate services and oversee 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. NC Innovations provides many different services that you can use based on your Individual Support Plan (ISP). Covenant offers a variety of services to the families we support.

Assistive Technology

Purchase equipment to help you with daily life tasks
Allows for smart home technology

Community Living & Support

Become more independent
Learn how to connect with others in your community
Learn skills such as shopping and banking
Manage eating, bathing, dressing, personal care, hygiene and other daily activities
Extra support for health and safety reasons.

Community Navigator

Learn about your community
Build connections
Learn about self-direction and self-determination

Community networking

Find volunteer work
Take integrated classes
Pay for membership to these activities

Community Transition

Pay for security deposits
Pay for moving fees
Buy furniture and other things you need for your new home
Pay to set up your water, electric and/or heating
Pay for services that make your new home safe and healthy

Crisis Services

Get help day or night
Stay out of a facility or hospital
Make a plan to help you avoid a crisis


Provides family caregivers relief from caregiver responsibilities

individual goods & services

Help people who self-direct their services pay for items or supplies need less Medicaid services
Become more included in the community
Increase your safety at home

Natural supports education

Help family and friends learn new or different ways to help you
Help family and friends learn how to use new equipment or supplies
Provides family and friends access to conferences and classes

residential supports

Support in daily life activities in an out of home placement
Learn how to stay healthy and safe in the community
Learn new skills and do more things for yourself
Get to community activities and day programs

specialized consultation services

Allows for physical therapy, occupational therapy, and speech therapy evaluations for equipment when State Plan service limits have been exhausted
Helps family caregivers learn how to use specialized equipment such as assistive technology, home modifications and van modifications.

supported living

Support in living in a home that you own or rent
Learn new skills and do more things for yourself
Manage eating, bathing, dressing, personal care, hygiene and other daily activities

supported employment

Find a paying job in an integrated setting
Learn new job skills
Start your own business

Supported employment can be provided long-term for ongoing job support.