Home and Community Based Services Final Rule

North Carolina supports serving individuals with disabilities in the most integrated settings possible, based on what is clinically appropriate as defined by the individual’s person-centered planning process.

We believe that individuals with disabilities should have the opportunity to live in community settings that reflect community values and standards.

Through engaging beneficiary and provider stakeholders, we will create a plan that supports individuals through a person-centered process, builds upon our already existing system and supports providers to ensure compliance with rules. This webpage details North Carolina’s vision of Home and Community Based Services.

The Centers for Medicare & Medicaid Services (CMS) published a final rule for Medicaid Home and Community Based Services effective March 17, 2014. The rule allows beneficiaries access to the benefits of community living and receiving services in the most integrated setting and provides alternatives to institutions. Additional information can be found at Medicaid.gov.

Transition Plan and Rule

Click here to provide input on the new HCBS Transition Plan. 

Click here for an overview of the rule (PDF)

Click here for HCBS Transition Plan FAQs (PDF)

Click here for FAQs concerning Medicaid Beneficiaries in Home and Community-Based Settings who Exhibit Unsafe Wandering or Exit-Seeking Behavior (PDF)

Click here for NASDDDS Presentation (PDF, 1.5MB)

Click here for the NASDDDS overview of the new HCBS rule (PDF, 1.2MB)

This rule impacts the following Medicaid waiver programs in North Carolina:

• The North Carolina Innovations Waiver
• The Community Alternatives Program for Disabled Adults (CAP/DA)
• The Community Alternatives Program for Children (CAP/C)

The plan is posted for public comment from January 21, 2015 to February 20, 2015 and can be accessed here. Following the comment period, the transition plan will be submitted to CMS for review on or before March 16, 2015.