What is the 1915(i)?

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

Member Rights and Responsibilities


Services Available through 1915(i)

The Care Coordinator develops a person-centered plan of care and assists in gaining access to needed 1915i services such as:

  • Training and Support for Unpaid Caregivers- help for your caregiver to learn ways to support you
  • Community Transition 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
  • Pre-Vocational Training- help for a short time so you can learn work or volunteer skills
  • Supported Education- help so you can work on your educational goals
  • Supported Employment- help getting and keeping a job in your community
  • Housing Support- help so you can move into and/or 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- help for you from other people who also live with challenges
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Applying for 1915(i)

A 1915(i) application may be submitted 

       electronically: through the Self-Service Portal

       by e-mail:

       by mail: Customer Support Center

                     PO Box 5562

                     Bismarck, ND 58506

       in-person at any Human Service Zone office (find your local Human Service Zone here)

       or call: 1-866-614-6005 or 701-328-1000; 711 (TTY) for assistance


Eligible individuals meet each of the following criteria: 

  • are aged 0+; and
  • currently enrolled in ND Medicaid or Medicaid Expansion; and
  • have a household income at or below 150% of the Federal Poverty Level (revised 4.2024); and
  • receive a WHODAS score of 25 or above (the WHODAS is a simple assessment that takes approximately 30 minutes to complete. Your WHODAS assessment must have been completed within the past 90 days. If you need a current WHODAS Assessment, the Human Service Zone is one way to receive a current assessment), or a DLA 20 score of 5 or below (DLA 20 must have been administered at a Human Service Center); and
  • reside in and will receive services in a setting meeting the federal home and community-based setting requirements (home and community-based settings do not include a nursing facility, institution for mental disease, or an intermediate care facility for individuals with intellectual disabilities); and
  • have a qualifying behavioral health diagnosis (revised 5.21.2024)


Form to be completed:

1915(i) Eligibility Form (SFN 741)

Translation available - please submit requests to

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Receiving Services under the 1915(i)

Once you have been found eligible for the 1915(i), the next step is to connect with a Care Coordinator.

  • Your approval letter from the Human Service Zone will include information on how to access the list of available Care Coordination agencies in your area.
  • 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 help you request available 1915(i) services that meet your needs