1915(i) Assessment Information
Home and community-based services (HCBS) provide opportunities for community integration, enabling Medicaid enrollees to obtain services in their community. North Carolina’s local management entities/managed care organizations (LME/MCOs) provide 1915(i) services, which offer a critical set of HCBS to Medicaid enrollees with significant behavioral health needs and intellectual/developmental disabilities (I/DD).
To receive 1915(i) services in North Carolina, federal law requires an independent assessment to confirm eligibility and guide the development of a Care Plan or Individual Support Plan (ISP), based on the individual's behavioral health, I/DD, or traumatic brain injury (TBI) diagnosis. This FAQ provides answers to common questions about North Carolina’s 1915(i) services.
1915(i) Material
1915(i) Assessment Tool
- NC 1915(i) Assessment Version 3.0 - Effective- Oct. 1, 2026
- NC 1915(i) Assessment Tool Companion Guide
1915(i) Assessment Training
1915(i) Birth Month Training
- 1915(i) Assessment Training Frequently Asked Questions (FAQs) - September 2026
- 1915(i) Care Manager Birth Month Alignment Frequently Asked Questions (FAQs) and Resources
- 1915(i) Independent Assessment & Care Plan/ISP Requirements FAQs
- 1915(i) Operational FAQs (Billing, Providers, etc.)
- Example Scenarios of Individuals with Both a PCP and Care Plan/ISP
Processes and FAQs for 1915(i) Services by Health Plan Provider
Visit the webpages listed below for information on 1915(i) services and processes for each of the five Tailored Care Management (TCM) and 1915(i) health plans providers.
- 1915(i) Birth Month Calculator Tool - August 2026
- 1915(i) Birth Month Calculator Instruction Video - August 2026
Service Provider Alignment of 1915(i) Eligibility and Care Plan/ISP to the Birth Month, Aug. 14, 2026
This page was last modified on 10/12/2026