North Carolina Individual Goods & Services Agency Policy Manual
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The North Carolina Individual Goods & Services Agency Policy Manual provides a comprehensive operational framework for agencies delivering Individual Goods and Services (IGS) to participants receiving support through North Carolina’s Medicaid Home and Community-Based Services (HCBS) waiver programs. This manual aligns with regulations established by the North Carolina Department of Health and Human Services (NCDHHS), including the Division of Medical Assistance (NC Medicaid), and complies with guidelines under the 1915(c) Innovations Waiver and other state-funded support programs. The manual includes policies and procedures governing agency enrollment and authorization, participant eligibility and person-centered planning, justification and documentation of goods and services, procurement and delivery of approved items, cost-effectiveness criteria, exclusions and limitations, staff qualifications and roles, participant rights and protections, inventory tracking and accountability, documentation and billing practices, incident reporting, and quality assurance. Individual Goods and Services are defined as non-routine items or supports that increase an individual’s ability to live independently, achieve goals in their person-centered plan, or reduce the need for other Medicaid services. These may include adaptive devices, specialized clothing, software, classes, or community memberships not otherwise covered. This manual serves as a foundational resource for IGS providers in North Carolina, ensuring the delivery of high-quality, compliant, and individually tailored services that support greater independence, inclusion, and quality of life.