North Dakota’s Medicaid 1915(i) program provides behavioral health services and supports for qualifying individuals. Eligibility requires age 0 and older, current ND Medicaid or Expansion enrollment, household income at or below 150% of the Federal Poverty Level, a WHODAS score of 25 or above or DLA-20 score of 5 or below, and services in Federal Home and Community-Based Settings (HCBS) meeting requirements.
HCBS settings exclude nursing facilities, institutions for mental disease (IMD), intermediate care facilities for individuals with intellectual disabilities (ICF-IID), psychiatric residential treatment facilities (PRTF), qualified residential treatment programs (QRTP), jails, prisons, or hospitals. Individuals must have a qualifying behavioral health diagnosis documented within the previous 12 months.
All 1915(i) members receive a care coordinator who develops their plan of care and connects them to 1915(i) and community-based services. Providers can be located via county searches, and assistance is available through the 1915(i) navigator by email at nd1915i@nd.gov or by phone at (701) 328-7068 or (800) 755-2604.
The Department of Mental Health submitted the 1915(i) Medicaid State Plan Amendment Application in April 2020 and received final approval from the Centers for Medicare and Medicaid Services on January 15, 2021. The program describes eligibility, enrollment processes, available services, qualifying providers, and quality assurance measures, with enrollment data and project history available on the state website.
This article is an AI-assisted summary. All facts and figures are drawn from the original report: https://www.hhs.nd.gov/1915i