North Carolina Medicaid waivers
North Carolina runs 4 Medicaid home and community-based services (HCBS) waiver programs in our records; 1 has a state-published waiting list.
- Waiver programs
- 4
- With a waiting list
- 1
On this page
North Carolina waiver programs
North Carolina runs 4 Medicaid home and community-based services (HCBS) waiver programs in our records; 1 has a state-published waiting list.
| Waiver | Authority | Who it serves | Waiting list | Approved through |
|---|---|---|---|---|
| NC Community Alternatives Program for Children WaiverNC.4141Services: Coordination of care (case management and care advisement), In-home care aide service, Respite (institutional and in-home), Financial management, Individual-directed goods and services, Assistive technology, Attendant nurse care, Community integration… | 1915(c) | People who are medically fragile, ages 0–20, Must meet hospital or nursing facility level of care | — | Feb 29, 2028 |
| NC Community Alternatives Program for Disabled Adults (CAP/DA) WaiverNC.0132Services: Adult day health, CAP in-home aide, Coordination of care (case management and care advisement), Financial management services, Chore service (declutter/garbage disposal), Community integration services, Community transition, Coordinated caregiving… | 1915(c) | Adults 65+, People with physical disabilities, ages 18–64, Must meet nursing facility level of care | — | Oct 31, 2029 |
| NC Innovations WaiverNC.0423Services: Community navigator, Community networking, Day supports, Residential supports, Respite, Supported employment, Financial support services, Assistive technology… | 1915(c) | People with intellectual disabilities or developmental disabilities, all ages, Must meet ICF/IID level of care | 21,449as of Mar 31, 2026 | Jun 30, 2029 |
| NC Traumatic Brain Injury (TBI) WaiverNC.1326Services: Day supports, Personal care, Residential supports, Respite, Supported employment, Occupational therapy, Physical therapy, Speech and language therapy… | 1915(c) | People with brain injury, age 18+, Must meet hospital or nursing facility level of care | — | Mar 31, 2027 |
Waiting-list counts are the state's own published figures, as of the date shown; states count differently, so compare with care.
Frequently asked questions
What Medicaid waivers does North Carolina have?
North Carolina runs 4 Medicaid home and community-based services (HCBS) waiver programs in our records; 1 has a state-published waiting list. They are: NC Community Alternatives Program for Children Waiver; NC Community Alternatives Program for Disabled Adults (CAP/DA) Waiver; NC Innovations Waiver; NC Traumatic Brain Injury (TBI) Waiver.