Accessing 1915(i) Services

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What is the 1915(i)?

The 1915(i) is a Medicaid program that allows individuals with behavioral health conditions to access additional home and community-based services.


Member Rights and Responsibilities

 

Services Available through 1915(i)

Care Coordination develops a person-centered plan of care and assists in gaining access to needed 1915i services.

  • Training and Supports for Unpaid Caregivers: help for your caregiver to learn ways to support you
  • Community Transitional Services: money to help move into your own home after living in a group home, treatment center, or nursing home
  • Benefits Planning: help to learn about your benefits and how things change when you get a job in your community
  • Non-Medical Transportation: rides to activities in your community or to non-medical appointments to help you meet your goals
  • Respite: short term help for you while your caregiver runs errands or takes care of other needs
  • Prevocational Training: help for a short time so you can learn work or volunteer skills
  • Supported Education: help so you can do well and be safe in school
  • Supported Employment: help getting and keeping a job in your community
  • Housing Support: help so you can move into and stay in your own home
  • Family Peer Support: help for your family members by connecting them with other families who also support their loved ones
  • Peer Support: connecting you to other people who live with the same challenges you do
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Applying for 1915(i)

The Human Service Zone will walk you through the process of applying for the 1915(i).

To find your local Human Service Zone, click here.

To be approved for the 1915(i), individuals are required to:  

  • be age 0+; and
  • be currently enrolled in ND Medicaid or Medicaid Expansion; and
  • meet income level; and
  • Income must be at or below 150% of the Federal Poverty Level - revised 4.1.2021
  • receive a WHODAS score of 25 or above; and
  • The WHODAS is a simple tool that takes approximately 20 minutes to complete. If you do not have a current WHODAS assessment, the Human Service Zone will provide you with the assessment.
  • reside in and will receive services in a setting meeting the federal home and community-based setting requirements, and
  • The statute specifies that home and community-based settings do not include a nursing facility, institution for mental diseases, or an intermediate care facility for individuals with intellectual disabilities.
  • have a diagnosis of substance use disorder, mental illness, or brain injury.
  • List of diagnoses - revised 8.31.2021

Forms to be completed:

1915(i) Eligibility Form

Translation available - please submit requests to nd1915i@nd.gov.

Receiving Services under the 1915(i)

Once an individual is deemed eligible for the 1915(i), the next step is to connect with a Care Coordinator

  • Your Human Service Zone representative will provide you with a list of Care Coordinator agencies to contact. Find providers here.
  • The 1915(i) Navigator will contact you to offer assistance if you don’t connect with a Care Coordinator on your own.
  • When you connect with your Care Coordinator, they will work with you to develop a Plan of Care and connect you with available 1915(i) services to help meet your needs.