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Click ‘Get Form’ to open the 1915 i assessment in the editor.
Begin by filling out the Demographic Information section. Enter details such as SLA Number, Assessment Date, Recipient Name, Age, DOB, Ethnicity, Medicaid Number, Gender, and other relevant fields.
Proceed to the Behavioral Health History section. Here, document the Chief Complaint in the recipient's own words and provide a detailed Presenting Problem/Historical context.
In the Substance Abuse/Dependence section, check all applicable boxes regarding past substance use and treatment history. Be thorough in detailing any current substances used.
Continue through each section methodically, ensuring that you complete Current Medical Conditions and Current & Past Medications accurately.
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The program has different names in different states. For example, in California, Medicaid is called Medi-Cal while in Kansas, its called KanCare.
Who is eligible for 1915i in NC?
If you have a serious mental health condition, a severe substance use disorder, intellectual or developmental disabilities or a traumatic brain injury, you may be able to move to a Tailored Plan to get 1915(i) services. Recipients of the NC Innovations Waiver or TBI Waiver are NOT eligible for 1915(i) services.
Did NC Medicaid change?
Broadly, there are four major eligibility groups covered by most states: children, adults with disabilities, aged adults, and nondisabled adults.
What is NC Medicaid B?
NC Medicaid provides health care coverage for people with lower incomes. NC Medicaid provides health care coverage to more people, including people ages 19 through 64. You may be eligible now even if you were not before. The best way to find out if you are eligible is to apply.
What is NC Medicaid called now?
North Carolinas Transformation to NC Medicaid Managed Care On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plans network of doctors.
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1915 i form
42 CFR 441.720 - Independent assessment.
(1) Perform a face-to-face assessment of the individual by an agent who is independent and qualified as defined in 441.730, and with a person-centered process
Access, Availability After Hours Coverage Standards
Assessment Regarding Ability to. Perform/Return to Work. An appointment for assessment of the members mental health/ medical status needs as related to
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