1915(i) Behavioral Health Services
Helpmates Home Care is an authorized provider of NC Medicaid 1915(i) Home and Community Based Behavioral Health Services — helping adults with mental health conditions, IDD, and substance use challenges live fuller, more independent lives in their communities.
What Are 1915(i) Services?
1915(i) Home and Community Based Services (HCBS) are Medicaid-funded supports that help adults with mental illness, intellectual/developmental disabilities (IDD), or substance use disorders to live safely and independently in their communities — rather than in hospitals, group homes, or other institutional settings.
In North Carolina, 1915(i) services are managed by Local Management Entities/Managed Care Organizations (LME/MCOs) such as Trillium Health Resources, which serves many of the counties in our area. To access these services, individuals must be enrolled in NC Medicaid and receive an authorization through their LME/MCO.
Helpmates Home Care, LLC is a licensed and authorized provider of 1915(i) behavioral health services, offering Peer Support, Individual and Transitional Support (ITS), and Psychosocial Rehabilitation (PSR) to eligible adults in Eastern and Central North Carolina.
Real Support, Real Recovery
Our behavioral health team provides evidence-based 1915(i) services in community settings — supporting adults on their journey toward independence and wellness.
Peer Support Services
One-on-one guidance from someone with lived experience
Psychosocial Rehabilitation (PSR)
Group life-skills workshops in a supportive community setting
Our 1915(i) Services
Detailed descriptions of each service we provide, who qualifies, and what is included.
Peer Support Services
Peer Support is delivered by a Certified Peer Support Specialist (CPSS) — someone who has their own lived experience with mental illness or substance use disorder and has been trained to support others on their recovery journey. This person-centered service is one of the most effective tools in behavioral health because it provides hope through genuine shared understanding.
Who Qualifies:
Adults with mental health diagnoses, substance use disorders, or co-occurring conditions who are enrolled in NC Medicaid and authorized through their LME/MCO.
What's Included:
Individual & Transitional Support (ITS)
Individual and Transitional Support (ITS) is a 1915(i) service designed to help adults with mental illness, intellectual/developmental disabilities (IDD), or traumatic brain injury (TBI) develop the skills necessary to live successfully and independently in the community. ITS is particularly valuable for individuals transitioning from institutional settings such as hospitals, group homes, or psychiatric facilities back to community-based living.
Who Qualifies:
Adults with qualifying mental health, IDD, or TBI diagnoses who are NC Medicaid beneficiaries and need support developing daily living skills or transitioning to community living.
What's Included:
Psychosocial Rehabilitation (PSR)
Psychosocial Rehabilitation (PSR) is a structured, skills-based 1915(i) service that helps adults with serious mental illness (SMI) develop, restore, or maintain the skills needed to function in daily life, interact socially, and engage meaningfully in their communities. PSR is evidence-based and addresses the cognitive, emotional, and social impacts of serious mental illness.
Who Qualifies:
Adults with serious mental illness (SMI) such as schizophrenia, bipolar disorder, major depression, or other qualifying diagnoses who are NC Medicaid beneficiaries.
What's Included:
How to Access 1915(i) Services
The process involves your Medicaid LME/MCO and takes a few steps. We guide you through every one.
Contact Your LME/MCO
Call Trillium Health Resources (1-877-685-2415) or your local LME/MCO to request a behavioral health assessment. They manage access to 1915(i) services in our area.
Complete an Assessment
A care coordinator will complete a needs assessment to determine which 1915(i) services are appropriate for your situation and level of need.
Receive Service Authorization
Once your services are authorized, you'll receive a Person-Centered Plan (PCP) that outlines the specific services and frequency approved for you.
Choose Helpmates
Request Helpmates Home Care, LLC as your 1915(i) provider. Our care team will contact you to schedule an intake and begin services promptly.
Trillium Health Resources
The LME/MCO for most of our service area. Start here to access 1915(i) services.
Frequently Asked Questions
Q: What does 1915(i) mean?
1915(i) refers to a section of the Social Security Act that allows states to provide Home and Community Based Services (HCBS) through their Medicaid State Plan. In North Carolina, these services support adults with mental health, IDD, or substance use conditions to live in their communities rather than institutions.
Q: Do I have to pay for 1915(i) services?
1915(i) services are covered by NC Medicaid for eligible individuals at no cost. You must be enrolled in NC Medicaid and receive authorization through your LME/MCO (Local Management Entity/Managed Care Organization).
Q: Who is Trillium Health Resources?
Trillium Health Resources is the LME/MCO that manages behavioral health, developmental disability, and substance use services for our service area counties. You must be enrolled with Trillium (or your local LME/MCO) to access 1915(i) services through Helpmates.
Q: Can I receive home care AND 1915(i) services from Helpmates?
Yes! Helpmates provides both traditional home care services and 1915(i) behavioral health services. Many of our clients receive a combination of services based on their individual needs and authorizations.
Q: What if I'm not sure which service I need?
Call us at 252-903-5630. Our care coordinators will discuss your situation and help guide you to the right services. We can also help connect you with your LME/MCO if you haven't started that process yet.
Ready to Get Started with Behavioral Health Services?
Call us to learn more about our 1915(i) services or to begin the enrollment process. We're here to help every step of the way.