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NC Medicaid 1915(i) Services

1915(i) services from NC Medicaid help people live in their own home and community instead of a care facility, for children and adults with mental health conditions, substance use disorders, traumatic brain injuries or intellectual/developmental disabilities.

Eligibility

  • Household income at or below 150% of the Federal Poverty Level
  • Care recipient must have a qualifying disability
  • Applicant age: at least 3
  • Relationship: other relative, non relative

Questions to ask the program

These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.

  • Does the person receiving care live in North Carolina? — Residency is usually the first thing a program checks.
  • Does your relationship to the person — other relative or non relative — count for this program?
  • What are the current income and asset limits, and whose income counts? — Our record lists 150% of the federal poverty level — limits change, so confirm the current figures.
  • What counts as a qualifying disability or level of care need, and what documentation shows it?
  • Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
  • What documents do you need from us to start an application?
  • Is there a waitlist right now, and how long is it?

What this record does not yet say

  • a direct application link
  • eligibility criteria

How to apply

  • First, get NC Medicaid (apply at medicaid.ncdhhs.gov/apply or call the NC Medicaid Contact Center at 1-888-245-0179). Then call your Medicaid health plan's Member and Recipient Service Line (listed on your health plan ID card or welcome letter) to request a 1915(i) assessment; the assessment can be done in person or by telemedicine and can take up to an hour. Available only through Behavioral Health and I/DD Tailored Plans (Alliance Health, Partners Health Management, Trillium Health Resources, or Vaya Health), NC Medicaid Direct, or the Eastern Band of Cherokee Indians Tribal Option (not Standard Plans); the best way to find out if you are eligible is to try to get services; without Medicaid, call the LME/MCO serving your county and ask about state-funded services

Use the official program page for application details: official program page.