At King’s Mental and Behavioral Health Solutions, we offer services through the 1915(i) Medicaid program — a special support option for people who need help living safely and independently in the community.
1915(i) services are designed for individuals with mental health challenges, behavioral needs, or functional limitations who may not need to live in a facility but still need extra help at home or in daily life.
The 1915(i) program is a special Medicaid service that helps people with mental health needs get extra support while living at home or in the community — instead of in a hospital or facility.
These services are designed to help you stay independent, build life skills, and get the care you need in the places where you feel most comfortable.
🏠 Learning how to live on your own or with others
🧠 Getting support for your mental and emotional health
🧾 Managing daily tasks like budgeting, cleaning, or planning meals
🗣️ Building communication and relationship skills
💬 Getting connected to community resources and supports
✨ Setting personal goals and working toward them — with a team by your side
Our team works with you to create a plan that can include:
Help with daily routines and life skills
Emotional and behavioral support
Care coordination
Community integration and independence building
Our goal is simple: to help you feel supported, understood, and empowered — right where you are.
We also offer Peer Support, which means you’ll be matched with someone who has walked a similar path. Our Peer Support Specialists have lived experience with mental health or substance use recovery, and they’re trained to:
Listen and encourage without judgment
Share coping tools and real-life strategies
Walk beside you as you work toward your goals
With peer support, you never have to go through it alone — we’re here with you every step of the way.
If you or someone you love could benefit from these services, reach out to us today. We’re here to answer your questions and help you get started on a path toward healing and independence.
WHAT DO YOU NEED TO BE SUCCESSFUL?
MENTAL HEALTH SERVICES
● Serious Emotional Disturbance
● Serious Mental Illness
● Developmentally Delayed
● Mental Health Diagnosis
Definition: An acquired injury to the brain resulting in cognitive, behavioral, or physical impairments that affect functioning.
Eligibility Criteria:
● Medical documentation of brain injury.
● Functional limitations in independent living, employment, or
personal care.
Service Examples:
● 1915 I Community Living Support
Definition: A clinical designation of mental health conditions per DSM-5 criteria.
Eligibility Criteria:
● Accurate diagnostic assessment by a licensed clinician.
● May be primary or co-occurring with substance use or developmental
challenges.
Examples:
● Attention-Deficit/Hyperactivity Disorder (ADHD)
● Generalized Anxiety Disorder (GAD)
● Obsessive Compulsive Disorder (OCD)
Service Examples:
● Diagnostic Evaluation
● Therapy & Medication Management
● Case Management Services
● Peer Support Services
Definition: Significant delay in physical, cognitive, social, or adaptive development typically determined during childhood
Eligibility Criteria:
● Psychological assessment or records to support IDD diagnosis
● CCA for behavioral assessment
Service Examples:
● Developmental Day Programs
● Early Intervention Services
● Speech/Occupational Therapy
● 1915 I CLS or 1915C innovation waiver services
Definition: A mental health disorder in adults that causes persistent and substantial functional impairment.
Eligibility Criteria:
● Meets clinical diagnostic guidelines for severe mental disorders.
● Interferes with employment, housing, social relationships, or independent living.
Common Diagnoses:
● Bipolar Disorder
● Schizophrenia Spectrum Disorders
● Major Depressive Disorder
Service Examples:
● Assertive Community Treatment (ACT)
● Peer Support Services
● 1915I Individual and Transitional Support
● Individual Placement & Support (IPS)
Definition: A diagnosable mental, behavioral, or emotional disorder in individuals under age 18 that causes substantial interference in major life activities.
Eligibility Criteria:
● Meets DSM diagnostic criteria.
● Exhibits marked impairment in two or more domains:
a. Self-care
b. Family relationships
c. School performance
d. Peer relationships
e. Self-direction
Common Diagnoses:
● Conduct Disorder
● PTSD
Services-1915 Respite, OPT Therapy, Intensive In Home etc
Standard programs offer service flexibility and a clients who are experiencing mild symptoms who may not need additional crisis support. Service hours for these programs may be lower
Enhanced programs require an increase in service hours but more wrap around support in some cases.
Overall, it is good to have a variation of both for program consistency.
Standard plan insurances include healthy blue, amerihealth, united healthcare, wellcare and carolina complete. These insurance provide outpatient basic level 1 behavioral health services to improve negative symptomology. Individuals who have tailored plans can also access this service. Services include outpatient therapy, medication management and peer support services. These services do not require engagement with Care Managers or require extra assessments to engage with.
Tailored plan services are only offered for clients who have Insurance through the local LME/MCOs such as Trillium and Alliance. Enhanced services such as intensive in home, community support team, 1915 etc are accessed through LME/MCOs. 1915 I services require an additional CMCA assessment and 1915I assessment done with Care Managers. These services are for TBI, IDD or severe emotional or mental health diagnosis.
YOU CAN OWN AN MH/SA/DD AGENCY WITHOUT A DEGREE OR BACKGROUND BUT YOU CAN’T RUN IT WITHOUT THEM
SOMEONE WITH A CLINICAL LICENSE I.E. LCSW, LCMHC ETC WHO CAN DIAGNOSIS AND MAKE CLINICAL RECOMMENDATIONS
SOMEONE WITH A 4 YEAR DEGREE WITH OVER 2 YEARS OF EXPERIENCE IN WORKING WITH THE MENTAL HEALTH POPULATION
THESE WILL BE YOUR ONE ON ONE SUPPORT WORKERS MUST HOLD A HS DIPLOMA OR PEER SUPPORT CERTIFICATION
Contact Our Home Care
