·State program
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.
What you get
Services, as recorded:
- Respite: up to 300 hours each year (for people ages 3 through 21); Community Transition: up to $5,000 in credit to help move from an approved setting to your own private home
Questions that decide eligibility
GiveCare prepares the questions; the program makes the decision. Bring these to the call or the application:
- 01
Does the person receiving care live in North Carolina?
Residency is usually the first thing a program checks.
- 02
Does your relationship to the person — other relative or non relative — count for this program?
- 03
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.
- 04
What counts as a qualifying disability or level of care need, and what documentation shows it?
- 05
Does the VA disability rating meet the program’s minimum (our record lists null%)?
- 06
Do the work hours meet the minimum (our record lists null hours)?
- 07
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.
- 08
What documents do you need from us to start an application?
- 09
Is there a waitlist right now, and how long is it?
Who qualifies, in the source’s words
Where our record has a direct quote from the official source, here it is — otherwise, this is our best reading of the rule.
Income and asset limits
“have income that does not exceed 150% of the Federal Poverty Line (FPL)”
medicaid.ncdhhs.gov →Applicant age
“1915(i) services are offered to people ages 3 and older.”
medicaid.ncdhhs.gov →Disability of the person receiving care
“Recipients of the NC Innovations Waiver or TBI Waiver are NOT eligible for 1915(i) services.”
medicaid.ncdhhs.gov →Minimum VA disability rating
Minimum VA disability rating: null%.
Work hours
Minimum work hours: null.
Relationship to the person receiving care
“In certain situations, friends and family members can be paid by NC Medicaid to provide the services.”
medicaid.ncdhhs.gov →
How to apply
- 01
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