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1915i: Our Children’s Program
Goal-Oriented Fun, Year Round.
Children enrolled in our 1915i children’s program receive 1:1 services provided by a day support paraprofessional. These services focus on individual goals and growth.
Services are available for 15 hours/week during the school year and 28 hours/week during school breaks.
This program includes 300 hours of respite care in addition to the weekly support hours.
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1915(i) START HERE CHECKLIST FOR FAMILIES.
Step 1: Confirm functional need for support
Step 2: Confirm Medicaid eligibility
Step 3: Identify county of residence
Step 4: Contact the LME/MCO that serves your county
Step 5: Complete required assessments
Step 6: Ask questions and request clarification
Step 7: Receive eligibility determination and authorization
Step 8: Choose a provider
Step 9: Submit a referral to Shine Support Services
Step 10: Begin services with ongoing coordination and review.
LME/MCO BY COUNTY – NORTH CAROLINA
Alliance Health serves:
Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, Wake
Partners Health Management serves:
Burke, Cabarrus, Catawba, Cleveland, Davie, Davidson, Forsyth, Gaston, Iredell, Lincoln, Rutherford, Stanly, Surry, Union, Yadkin
Trillium Health Resources serves:
Anson, Beaufort, Bertie, Bladen, Brunswick, Camden, Carteret, Chowan, Columbus, Craven, Currituck, Dare, Duplin, Edgecombe, Gates, Greene, Guilford, Halifax, Hertford, Hoke, Hyde, Jones, Lee, Lenoir, Martin, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Randolph, Richmond, Robeson, Sampson, Scotland, Tyrrell, Warren, Washington, Wayne, Wilson
Vaya Health serves:
Alamance, Alexander, Alleghany, Ashe, Avery, Buncombe, Caldwell, Caswell, Chatham, Cherokee, Clay, Franklin, Graham, Granville, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Person, Polk, Rockingham, Rowan, Stokes, Swain, Transylvania, Vance, Watauga, Wilkes, Yancey
LME/MCO MEMBER SERVICES CONTACTS
Alliance Health
Member Services: 800-510-9132
Website: https://www.alliancehealthplan.org/members/
Partners Health Management
Member Services: 1-888-235-4673
Website: https://www.partnersbhm.org/medicaid-direct/
Trillium Health Resources
Member Services: 1-877-685-2415
Website: https://www.trilliumhealthresources.org/explore-trillium/contact-us
Vaya Health
Member Services: 1-800-962-9003
Website: https://www.vayahealth.com