Individuals with North Carolina Medicaid can receive services for those with intellectual disabilities and developmental disabilities (ID/DD) if they meet specific criteria. Individuals receiving services under the NC Innovations 1915(c) Waiver must be diagnosed with an intellectual disability (formerly classified as mental retardation) or a closely related condition that results in substantial functional limitations in three or more major life activity areas. They also must meet criteria for Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) level of care. Individuals accessing (b)(3) services must be diagnosed with an intellectual disability or a closely related condition that results in substantial functional limitations in three or more major life activity areas. For services under the 1915(b) waiver or the 1915(c) waiver, an individual must meet all criteria identified in the service definitions found in the North Carolina DMA Clinical Coverage Policies.
NC Innovations Waiver services are provided to those who have been given an Innovations slot, which are limited in number as determined by the NC DHHS. Those who meet criteria for an Innovations slot, but for whom no slot is available, are placed on a wait list. Innovations services offer support to facilitate opportunities for each participant to explore and enhance their quality of life by maximizing self-determination, self-advocacy, and self-sufficiency of participants. Services are intended to support participants in living in homes of their choice, having employment or engaging in purposeful daytime activities of their choice, achieving their life goals and providing an opportunity to direct their service to the extent they choose. Waiver services are designed to provide the necessary support to keep children in the home setting with their families.
Psychological evaluations establish diagnosis and may assist with identifying goals and intervention strategies. Psychological evaluations often include IQ testing and adaptive skills testing. When clinically appropriate, evaluations conducted by the appropriate professional may need to be explored in areas such as assistive technology, communication, feeding and mobility.
For full details for Cardinal Innovations' specific continua for Individuals with Intellectual Disabilities use the following links:
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