This bulletin applies to NC Medicaid Managed Care and NC Medicaid Direct.
The NC 1915(i) Assessment Tool, available on NC Medicaid’s website, identifies a beneficiary’s needed services and supports and informs the independent evaluation of 1915(i) eligibility determination and development of the Care Plan or Individual Support Plan.
The updated assessment tool includes new fields that capture more detailed information. A new NC Medicaid 1915(i) Companion Guide has been created to accompany the updated 1915(i) assessment tool.
Effective Oct. 1, 2026, the revised NC Medicaid 1915(i) Assessment Tool must be completed for:
- Beneficiaries requesting a 1915(i) service; and
- Eligibility reassessments for beneficiaries receiving 1915(i) services.
Previous versions of the NC Medicaid 1915(i) Assessment published prior to Aug. 3, 2026, will not be processed and will be returned marked as “Unable to Process.”
Contact
NC Medicaid Contact Center: 888-245-0179
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This page was last modified on 08/10/2026