Innovations Waiver

In our efforts to provide the highest quality and most comprehensive selection of services available, A Small Miracle currently offers a wide range of services, which include:


  • Intensive In-Home Supports
  • Community Living and Supports
  • Natural Supports Education
  • Community Networking
  • Supported Living
  • Respite
  • Supported Employment
  • Crisis Services
  • Day Supports
  • Specialized Consultative Services
  • Specialized Consultative Services: BCBA
  • Developmental Day (year round and summer program)
  • Residential Services (AFL)
  • B(3) Respite
  • B(3) Supported Employment
  • B(3) In-Home Skill Building.

Developmental Therapy

  • Professional
  • Paraprofessional

TBI Waiver Services

  • Community Networking
  • Day Supports
  • Intensive In Home
  • Life Skills Training
  • Personal Care
  • Respite
  • Specialized Consultative Services

What is the Innovation’s Waiver?

The Innovations Waiver for Persons with Intellectual/Developmental Disabilities (I/DD) is a special Medicaid community care funding source. The Innovations Waiver combines federal and state funds to provide a cost-effective alternative to care in an intermediate care facility. The goal of the Innovations Waiver is to allow individuals to live in the community with as much independence as possible. Available throughout North Carolina, Innovations Waiver can provide one-on-one services and supports for each participant, based on the individual’s assessed needs.

These services and supports include well-trained, screened staff (habilitation technicians) working with participants in their homes and out in the community. Habilitation technicians assist participants with such objectives as gross/fine motor skills, behavior, socialization skills, self-help skills, play skills, language and communication and academics. Also covered, as needed, are respite, family training, supported employment, fences and alarm systems (for individuals at risk for wandering), and ramps and other home and vehicle modifications.

For more information about the North Carolina Innovations Waiver, visit or call your county’s mental health/developmental disabilities/substance abuse office. If you live in North Carolina, you may also contact us at 1-800-760-0665 and we will help you find the appropriate person for you to talk to in your county.