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Details for Service High Risk Intervention
Service Name High Risk Intervention Program Name Child Out of Home Treatment
Goal Provide services and protection to individuals and families experiencing serious health and safety needs who are not, at least temporarily, able to assist themselves with the goal of helping them to return to independent, community living.
Objective Assure that children being served in out-of-home placements receive assessment and treatment services designed to assist them in their return to home and/or community living.
Division Division of Health Benefits
Service Description

Residential Treatment Services (High Risk Intervention) provide a structured, therapeutic and supervised environment to improve the level of functioning for Medicaid funded recipients.  People who are less than 21 years old are eligible for these services.

 

There are four levels of residential treatment: 

1.       Residential Treatment Level I Service - provides a low to moderate structured and supervised environment in a family setting, excluding room and board. 

2.       Residential Treatment Level II Service - provides a moderate to highly structured and supervised environment in a family or program setting, excluding room and board.

3.       Residential Treatment Level III Service - has a highly structured and supervised environment in a program setting only, excluding room and board. 

4.       Residential Treatment Level IV Service - has a physically secure, locked environment in a program setting only, excluding room and board. 

 

High Risk Intervention Residential Services are for children who need for intensive, interactive therapeutic interventions and 24 hour supervision. 

 

These services are accessed through Local Management Entities (local mental health clinics) and must be prior approved.

Residential Treatment Services (High Risk Intervention) are optional.  Some HRI services may be considered mandatory, if medically necessary, for children up to age 21 under Medicaid's Early Periodic Screening, Diagnosis and Treatment program (EPSDT).
Web Site http://www.ncdhhs.gov/dma/ Year First Initiated 2000
Available State Wide Yes Geographic Area Served
Grants Provided No Competitive Bidding No
Competitive Bidding Details
Waiting List No Waiting List Start Date
Number Waiting
Waiting List Details

Income Eligibility
Income Eligibility Yes
Income Eligibility Method Eligibility for Medicaid is determined by the county departments of social services (DSS) and the Social Security Administration (SSA) for Supplemental Security Income (SSI) recipients. The Social Security Act mandates certain groups of individuals who must be covered by Medicaid. The mandatory groups include individuals who receive, or are deemed to be receiving, cash assistance. Aid to Families with Dependent Children (AFDC) and Supplemental Security Income (SSI) are the major cash assistance programs. In addition, the State is mandated to cover certain Medicare beneficiaries and pregnant women and children. The Social Security Act also describes optional groups the state may elect to cover. Two of the optional groups North Carolina covers are individuals described as Medically Needy and individuals who receive Special Assistance. In order to receive Medicaid, individuals must meet the requirements under a specific categorical group covered by North Carolina. In addition, financial and non-financial criteria for each group must be met. The basic financial criteria include: • Not having countable assets that exceed the individual or couple resource limit for the classification and program in which eligibility is determined. • Having financial need according to the income limits for the program in which eligibility is determined. • Not having transferred (or established a trust) real or personal property, including liquid resources, as specified by Medicaid policy.
Income Eligibility Type Type of income used to determine eligibility may differ among the various Medicaid eligibility groups.
Whose Income Eligibility Whose income is used to determine eligibility may differ among the various Medicaid eligibility groups.
Income Disregard No
Income Disregard Desc
Income Verified Yes
Income Verified Method The following may be used to verify income: pay stubs, tax records, employer statements and business records.
Income Criteria Income criteria may vary among eligibility groups and according to program guidelines. Federal and State Statutes are used as a base for setting income levels.
Income Eligibility Change 1/1/1975
Income Eligibility Method Prior To Change Method has remained unchanged since inception.
Income Eligibility Other

Target Population
Age Range Start Age Range End
0 20

Legal Authority
Authorization Level Authorization Type Citation
Federal Code of Federal Regulations CFR 42 440 .130.

Budget Information
State Fiscal Year (SFY)
As of the month of
Authorized Budget Fiscal Year 2024 SFY 2023-2024 Year To Date Expenditures Balance
Salary and Fringes (1X) 0 0 0
Salary Other (1X) 0 0 0
Operating (2X-5X) 0 0 0
Contracts/Allocations (6X) 0 0 0
Reserves (7X) 0 0 0
Transfers (8X) 0 0 0
Total Requirements 0 0 0
Receipts-Federal 0 0 0
Receipts- Local receipts 0 0 0
Receipts- Other receipts 0 0 0
Total Receipts 0 0 0
General Fund Appropriations 0 0 0
Match
State Local Other
0 0 0
 
MOE
State Local
0 0
 
FTEs
0.00
Please be advised that data is updated frequently. It is recommended to return to this site to get the most recent information.