There are some steps to determine 1915(i) eligibility before you can get these services. Please see below and talk to your Tailored Care Manager if you have questions.
Provider identifies need for 1915(i) services:
- Tailored Care Manager completes 1915(I) assessment
- NCDHHS approves independent assessment
- TCM helps member find 1915(i) service providers
- TCM creates care plan with member
- TCM submits prior authorization requests
- 1915(i) provider offers services
The 1915(i) provider will:
- Give temporary relief to the primary caregiver
- Offer services during the day, overnight, weekend and emergency care when needed
- Provide 1915(i) services in person
- Document the services billed to and reimbursed by Medicaid
- Continue to monitor member’s progress
For more information, please visit Home & Community Based Services 1915(I) webpage.
