What Is 1915(i)?
1915(i) Home and Community-Based Services is a state Medicaid plan option. It allows Oregon to use matching federal Medicaid funding for Home-Based Habilitation, Behavioral Habilitation and Psychosocial Rehabilitation services for qualified Medicaid recipients 21 years of age or older who have been diagnosed with a chronic mental illness.
Project History
1915i Home and Community-Based Services Audit Findings
Oregon Administrative Rules for 1915(i) Home and Community-Based Services (Chapter 410, Division 173)
Oregon's
Medicaid State Plan
Rate Standardization Project: Webinars, forms and other resources for adult mental health residential facilities
Latest Updates
Submitting claims to apply the fee-for-service rate increase (3/25/2024)
Independent and Qualified Agent Contract Audit Progress Report (March 2024)
Request for Calendar Year 2022 and 2023 financial data (3/14/2024)
Adult foster home training: Recording and frequently asked questions (3/7/2024)
Fee-for-service rate increase for Medicaid behavioral health services effective October 1, 2023 (2/22/2024)
Independent and Qualified Agent Contract Audit Progress Report (December 2023)
1915(i) Home and Community-Based Services:
Current
Home-Based Habilitation
Behavioral Habilitation
Psychosocial Rehabilitation
Expanded
Home Delivered Meals
Housing Support Services
Transition Services
Pest Eradication Services
In-Home Personal Care
Community Transportation
How Do I Apply for/Access Services?
Eligibility
Eligibility for the 1915(i) Home and Community-Based Services is based upon determination that the individual is eligible for Medicaid at the time of review and the individual requires daily assistance, due to mental health needs, with at least (2) two instrumental activities of daily living.
Eligibility determinations must be conducted by an impartial third-party clinical reviewer, an Independent and Qualified Agent (IQA).
Enrolling as a Provider and Providing Services
Provider Qualifications
- Licensed Qualified Mental Health Professional
- Certified Behavioral Health Organization
- Enrolled In-Home Care Agency
How to become a 1915(i) Home and Community-Based Services Provider
More information will be provided soon.