North Carolina Innovations Waiver Documentation Software
CareHub for Innovations Waiver providers, built for NC DHHS Division of MH/DD/SAS compliance.
Serving providers in North Carolina • See North Carolina state page
About the Innovations Waiver
The North Carolina Innovations Waiver is the state's primary Home and Community-Based Services (HCBS) waiver for individuals with intellectual and developmental disabilities. It funds residential supports, day supports, supported employment, community networking, and respite services for individuals who would otherwise require institutional placement. Innovations is administered through Local Management Entities/Managed Care Organizations (LME-MCOs), each of which sets local credentialing requirements, service authorization rules, and incident-reporting workflows. Providers serving multiple LME-MCO regions must meet each MCO's specific requirements while maintaining consistent organization-wide compliance. Documentation requirements include person-centered Individual Support Plans aligned to NC standards, Level II/III incident reporting within 72 hours, medication administration with proper credentialing, and ongoing service authorization tracking. CareHub supports providers operating in any Innovations LME-MCO region with state-aligned templates, multi-MCO documentation workflows, and a real-time compliance dashboard.
Who qualifies
North Carolinians with intellectual and developmental disabilities who meet ICF/IID level-of-care criteria and who would otherwise require institutional placement. Eligibility is determined through the LME-MCO and the state's Innovations registry.
Services covered under Innovations Waiver
CareHub supports documentation for every service type in the waiver.
Residential Supports
24-hour residential supports including group home and supported living models.
Day Supports
Community-based day programming with skill-building and engagement.
Supported Employment
Job-coaching and ongoing employment supports.
Community Networking
Community-integration supports for social and recreational engagement.
Respite
Short-term supports providing relief to primary caregivers.
Behavioral Consultation
Behavior assessment, treatment planning, and ongoing data collection.
Key documentation requirements
What NC DHHS Division of MH/DD/SAS expects providers to document.
Person-Centered ISP
NC requires ISPs that follow person-centered planning principles with documented choice, measurable outcomes, and support strategies aligned with the individual's vision.
Level II/III Incident Reporting (72 Hours)
Level II and III incidents must be reported within 72 hours. Providers must document investigations, root cause analysis, and corrective actions.
Medication Administration
Medication administration requires proper training certification, documented MAR records, PRN protocols, and medication error reporting to the LME-MCO.
Service Authorization Tracking
Each service type requires LME-MCO authorization with specific unit limits. Providers must document service delivery against authorized units and report utilization.
Staff Credentialing
DSPs must hold required credentials including CPR/First Aid, NCI (or LME-MCO-approved equivalent) crisis intervention certification, and meet NC-specific competency standards.
How CareHub helps Innovations Waiver providers
Purpose-built features for NC DHHS Division of MH/DD/SAS compliance.
ISP templates aligned with NC person-centered planning standards
Incident reporting workflow with 72-hour Level II/III deadline tracking
Multi-LME-MCO support, each location can be configured for region-specific requirements
Staff credential dashboard with NC-specific certification tracking (NCI, CPR, MA)
Service authorization unit tracking with usage and balance reporting
Compliance dashboard surfacing documentation gaps before LME-MCO audits
Share this Innovations Waiver guide
Frequently Asked Questions
Common questions from Innovations Waiver providers.
Does CareHub support multiple LME-MCO regions?
Yes. Each service location can be configured for the specific requirements of its LME-MCO while CareHub maintains organization-wide compliance visibility.
How does CareHub handle the 72-hour incident reporting deadline?
CareHub classifies incidents by level and starts a 72-hour countdown for Level II and III incidents. Supervisors receive alerts as the deadline approaches; the system maintains a complete trail of investigation, root cause, and corrective action.
Can CareHub track NCI certification?
Yes. CareHub tracks every staff credential including NCI (or LME-MCO-approved equivalent crisis intervention), CPR/First Aid, medication administration, and other NC-specific qualifications. Supervisors get expiration alerts before certifications lapse.
What about (b)(3) services for individuals on the Innovations waitlist?
CareHub supports (b)(3) state-funded services alongside Innovations Waiver documentation, with the same workflows and templates.
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