NORTH CAROLINA
C+Last verified 2026-07-03
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN NORTH CAROLINA
- Fee-for-service Medicaid service denial: file appeal request with OAH within 30 days of notice mailing
- Managed care (Standard Plans / I-DD Tailored Plans): file MCE internal appeal within 60 days of notice
- After MCE Notice of Resolution: file contested case with OAH within 120 days
- Continuation: request hearing before the effective date of the adverse determination (notice mailed at least 10 days prior)
KEY AGENCIES & RESOURCES
NOTABLE WAIVERS
NC Innovations Waiver
SourceChildren and adults with intellectual/developmental disabilities.
Waitlist: Registry of Unmet Needs exceeds 16,000 — register the day you have a diagnosis.
CAP/C (Community Alternatives Program for Children)
SourceMedically fragile children under 21.
Waitlist: Apply through NC Medicaid; assessment-based.
CAP/DA (Community Alternatives Program for Disabled Adults)
SourceAdults with disabilities needing nursing-level in-home care.
Waitlist: County-level capacity; verify locally.
TBI Waiver
SourceAdults with traumatic brain injury (select regions).
Waitlist: Regional pilot; verify with your LME/MCO.
Full milestone guide
View the North Carolina Roadmap →
Six age-based stages — state-correct programs, benefits, and milestones from birth through adulthood.
