By Gaile Osborne
If a child in your home is struggling with behavioral, emotional, developmental, or mental health challenges, North Carolina’s 1915(i) program may be able to help. This Medicaid program provides extra support and services to help children and families succeed at home, in school, and in their communities.
The first step is determining whether your child qualifies. Children who have NC Medicaid and significant mental health, developmental, or behavioral needs may be eligible. A care manager, healthcare provider, or family member can request an assessment to see if the child qualifies for services.
During the assessment, a trained professional will talk with you and your child about daily challenges, strengths, and support needs. They will look at how your child’s needs affect their life at home, school, and in the community. This information helps determine whether 1915(i) services would be beneficial.
If your child is approved, you will work with a care manager to create a plan that focuses on your family’s goals and needs. Together, you will identify services and supports that can help your child be successful and help your family feel supported.
Services available through 1915(i) may include help with daily living skills, behavioral support, respite care for caregivers, support during major life transitions, and assistance with building independence and community connections. These services are designed to strengthen families and help children remain safely and successfully in their homes and communities.
For foster, adoptive, and kinship families, 1915(i) can be especially valuable. It may provide additional support for children who have experienced trauma, help stabilize placements, give caregivers a break through respite services, and connect families with resources that promote long-term success. The goal is to ensure that children and families receive the support they need before challenges become crises.
If you think your child may benefit from 1915(i) services, talk with your child’s care manager or social worker about starting the assessment process.
Gaile Osborne is the Executive Director of the Foster Family Alliance of North Carolina
