1915(b)(c) Waiver Renewal - public comment open through November 22 and 28, 2018 close
Understanding coverage

We can help confirm your eligibility and find support for your unique needs.

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Coverage

How do I confirm if I'm eligible to receive services?
To better understand who is eligible to receive services, learn how coverage works. To check your eligibility to receive services, call the Access Call Center at 1-800-939-5911 or open the live chat window in the bottom right-hand corner of your screen.
How do I contact my care coordinator?
Care coordinators are assigned to help members and their families. If you do not know how to contact your assigned care coordinator, call our access line for help at 1-800-939-5911.
How do I report a concern, fraud, or abuse?
You can report a concern via telephone, online, or by mail. Review examples of fraud and abuse.

Online
Complete our suspected fraud and abuse reporting form.

Telephone
Call our toll-free Fraud and Abuse Line to leave a confidential voicemail at 1-800-357-9084.

Mail
Cardinal Innovations Healthcare
Attention: Program Integrity Unit
550 S. Caldwell St., Suite 1500
Charlotte, North Carolina 28202
What if I disagree with changes to my benefits or services?
You have the right to appeal any changes in your benefits or services. The first step in appealing a denial, reduction, suspension, or termination of services is requesting a reconsideration review. This review is performed by a healthcare professional with clinical expertise in treating your condition or disorder. For additional information about filing an appeal, read our appeals process brochure. If you disagree with the outcome of the Cardinal Innovations Healthcare reconsideration, you have the right to file a formal appeal to the Office of Administrative Hearings (OAH).

Services and supports

How do I check the status of my application for the NC Innovations Waiver?
We can add you to the Registry of Unmet Needs or confirm that you are on the list. However, we are not able to check anyone’s position on the registry. For information on the NC Innovations Waiver or the Registry of Unmet Needs, call 1-704-939-7980.
How soon can I start receiving services or see a provider?
Call our Access Call Center at 1-800-939-5911 to learn about services. Our team can help you schedule an appointment with a provider. You can also connect with us in our live chat, found at the bottom of every page on our site.

If you are in a crisis and need help immediately, call us 24/7 at 1-800-939-5911.
If I'm caring for my loved one full-time, could I be eligible to become a direct support employee?
If you are the relative or legal guardian of an adult (age 18 and older) who participates in the NC Innovations Waiver, you may qualify to become a Relative/Legal Guardian as Direct Support Employee (RDSE). The only service you may provide in this role is Community Living and Support. To serve in this manner, you must meet certain standards for employment. Read tips for RDSE members.
What is the Registry of Unmet Needs?

The Registry of Unmet Needs is a first-come, first-serve list kept by Cardinal Innovations to keep track of people waiting for NC Innovations services. If you need NC Innovations Waiver services for you or your loved one with IDD, we urge you to call us so that you can add yourself or your loved one to the Registry.

For more information about the NC Innovations Waiver or the Registry of Unmet Needs, call our Registry Department at 1-704-939-7980.

Learn more about the NC Innovations Waiver.

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