Home and Community-Based Services

The current system of providing care for people with disabilities is biased towards institutionalization. This means that it is easier for people with disabilities to receive care in a facility than to find services so that they can live in their communities. There are not enough home and community-based services (HCBS) and supports for people with mental health or developmental disabilities. We are working to change this.

We help both children and adults with mental illness and/or developmental disabilities obtain services.

How DRNC advocates to improve HCBS

  • Providing advice about getting State-funded services, like Personal Care Services.
  • Advocating for children with Medicaid to receive appropriate services.
  • Helping people with Waivers (Innovations, CAP/DA, CAP/C and TBI) to get the services they need

 Strategies we use

  • Self- Advocacy assistance – We give you the information you need to advocate with your LME/MCO
  • Individual representation – Sometimes we can represent you in a dispute with the LME/MCO or at the Office of Administrative Hearings 
  • Impact litigation – We sometimes litigate cases that will have a broad positive effect on the people we serve.
  • Training and outreach – We go out into the community to train people with disabilities and their caregivers on their rights 
  • Educating policy makers – We lobby state lawmakers and DHHS for needed change 

Learn more about these DRNC strategies and services 

Please note: We DO NOT help individuals obtain Medicaid coverage or with applying for Social Security Disability or SSI (Legal Aid NC may be able to help you). Once you have Medicaid, we can help you to get services under Medicaid. We may also be able to provide you with information about State-funded services. 


(Scroll up for additional information about our work on services issues.)

We help you live in the community of your choice. We help you get the supports that keep you healthy, safe and out of institutions. Sometimes, we take your case and advocate to get you with the services you need.

Your Rights at a Glance

You have the right to:

  • Live in the community of your choice
  • Receive the supports services you need in your own community
  • Fully participate in your community


Samantha R v. North Carolina – Court says NC illegally segregates people with I/DD and places others at risk for institutionalization.


HCBS during COVID-19

Protect your rights – fact sheets and information about HCBS during COVID-19


Medicaid Appeals with MCOs

Waiver Eligibility

Innovations Waiver Wait List

Innovations Waiver Changes and Budget Reductions

NC’s Traumatic Brain Injury Waiver Pilot Program

Autism Services

Medicaid Transformation

DHHS Suspends Implementation of Managed Care

NC Medicaid’s Move to Managed  Care – Joint Webinar – Part 1:

NCDHHS Extends Open Enrollment for Medicaid Beneficiaries, Announces Statewide Move to Managed Care in February

“Managed care in North Carolina was scheduled to roll out in two phases, with Medicaid beneficiaries in part of the state beginning managed care services on Nov. 1, 2019 and most of the state beginning on Feb. 1, 2020. With today’s announcement managed care will now go-live in one phase for the whole state beginning on Feb.1, 2020. 

The timeline has been adjusted because DHHS cannot implement critical actions to go-live with managed care under the current continuing resolution budget. The updated timeline only impacts counties that were in Phase 1; it does not impact counties that were scheduled for Phase 2. The date of Feb. 1, 2020 for statewide implementation remains unchanged.

Please see the DHHS announcement for further details.


PCS Appeal Denial or Reduction FAQ