Home & Community Based Services 1915(i)
The 1915i services are for members who want support to live in their home communities. These services are non-medical behavioral health services, such as supported employment. They are provided at a member’s home or residence or community, and are not for members living in an institution.
Please note: 1915(i) services replace many of the previous 1915 (b)(3) services. The 1915(b)(3) services will be available for NC Medicaid members until June 20, 2024.
The 1915(i) services include:
- Supported Employment
- Individual Placement Support
- Individual and Transitional Support
- Respite
- Community Living and Support
- Community Transition
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.
