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1915i Services Update: State Plan Amendment Released, Comments Due by Sunday, September 25th

Medicaid will be offering new services called 1915i services to people with intellectual and/or developmental disabilities (I/DD), including autism, as well as those with mental health issues and substance use disorders. 1915i services are replacing B3 services but unlike B3, 1915i services are an entitlement. This means that the program does not keep waiting lists and does not run out of funds to help people. The same set of services will be offered across the state, unlike B3 which may be different from place to place.  

These 1915i services include: 

  • Community Transition
  • Respite
  • Community Living and Support
  • Supported Employment
  • Other services to support those with a primary diagnosis of mental illness or substance use disorders. 

You must be eligible for Medicaid, as well as be determined to be in need of these types of services, in order to get them.  

Contact Medicaid or your local Department of Social Services office to get information on Medicaid eligibility. 

Contact your Local Management Entity Managed Care Organization (LME/MCO) for information on local, state and federal funded I/DD services you may be eligible for.  

North Carolina Department of Health and Human Services (NC DHHS) has officially submitted its state plan amendment for these 1915i services. You can also read an outline of the new services and see a comparison of 1915i to b3 in this paper from NCDHHS

The plan amendment is long and technical in nature. We encourage you to review it and/or the document and submit comments. If you find the plan amendment to be difficult to read, here are some questions to help inform your feedback to NC DHHS: 

  • If you or your family member is using 1915(b)(3) services, what has been helpful and what could be done better? Are there particular services that make a positive difference to you?  
  • What is the most important health care support service that you need in your life right now and/or while waiting for an Innovations Waiver slot?  
  • How do you best learn about changes in the Medicaid program (for example:  mailed letter, email, text, phone call)?  Do you have ways that you prefer to get new information that helps you to understand it? What would you recommend to NC DHHS to help get the word out about 1915i services and other Medicaid changes?   


Comments or feedback can be sent to: iddlisteningsessions@dhhs.nc.gov. Comments due Sunday, September 25th. 

ASNC continues to advocate for increased access to services for people with autism. We are interested in what you have to say about 1915i services. If you want to share your comments on the plan with us, please send a copy of your comments to Jennifer Mahan, ASNC Director of Public Policy at jmahan@autismsociety-nc.org.



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