Medicaid 1915(i)

• Age 0+; and

• Currently enrolled in ND Medicaid or Medicaid Expansion; and

• Have a household income at or below 150% of the Federal Poverty Level

• Receive a WHODAS score of 25 or above or a DLA-20 score of 5 or below; and

• Lives in and will receive services in a setting meeting the federal home and community-base service (HCBS) setting requirements; and

• Have a qualifying behavioral health diagnosis.

• Peer Support (18+)

• Family Peer Support (0-17)

• Housing Support (17.5+)

• Non-Medical Transport (All Ages)

• Supported Education (5+)

• Supported Employment (14+)

• Respite (0-20)

• Benefits Planning (All Ages)

• Pre-Vocational Training (17.5+ or has GED/Diploma)

• Training and Support for Unpaid Caregivers (All Ages)

• Community Transition Services (All Ages)

In April 2020, the Department submitted the 1915(i) Medicaid State Plan Amendment Application to the Centers for Medicare & Medicaid Services (CMS) for review. The Application describes who is eligible, the process for enrollment, what services are available, what providers can render services, and how quality will be assured.

The Centers for Medicare and Medicaid Services (CMS) issued its final approval of the 1915i state plan amendment on January 15, 2021. 

All members work with a care coordinator. Care coordinators help the member create a person-centered plan of care. Members work with care coordinators to set goals. They will choose services and supports to help them achieve their goals. This helps members live successfully in their homes and communities.