Community Alternatives Program
for Children
(CAP/C)
At a Glance
Community Alternatives Program for Children
CAP/C is an NC Medicaid Home and Community-based Services (HCBS) program authorized under section1915(c) of the Social Security Act and complies with 42 CFR § 440.180, Home and Community-based Waiver Services. The waiver program provides a cost-effective alternative to institutionalization for Medicaid beneficiaries who are medically fragile and at risk for institutionalization if the home and community-based services approved in the CAP/C waiver were not available. These services allow the beneficiary to remain in or return to a home and community-based setting. The waiver supplements, rather than replaces, the formal and informal services and supports already available to an approved Medicaid beneficiary.
Who is eligible for the CAP/C program?
- Medically fragile and medically complex children who are age 0 through 20 years of age
- Is determined to require a level of institutional care under the North Carolina Medicaid State Plan
- Need at least one or more CAP/C home-and community-based services based on a reasonable indication of need assessment that must be coordinated by a CAP/C case manager
What services are provided under the CAP/C waiver?
- Assistive technology
- Attendant nurse care
- CAP/C in-home aide (IHA) services
- Care coordination
- Community integration services
- Community transition services
- Coordinated caregiving
- Financial management services
- Home accessibility and adaptation
- Goods and services
- Nutritional services
- Non-medical transportation
- Pediatric nurse aide services
- Pest eradication
- Respite care (institutional and in-home)
- Specialized medical equipment and supplies
- Training, education and consultative services
- Vehicle modification
CAP/C Referral
- A referral may be made by calling Acentra Health at 919-568-1717 or 833-522-5429 (toll free) or by faxing a completed referral form to 833-470-0597.
- Contact a local CAP/C case management entity in the county of residence of the applicant to request a CAP/C referral.
- A full list of CAP/C Case Management Providers can be found here.
- If you are a CAP/C case management entity or a qualified home- and community-based provider, a referral can be completed in the e-CAP system
Announcements & Events
2025 CAP Front Porch Chats
1/03/25
The 2025 CAP Front Porch Chat schedule is listed below for individuals participating in the Personal Care Services program. Use the links below to register. January 1/16/2025 Transition of Care - Register here! April 4/17/2025 Denial Reasons (Other Available Options) - Register...
Continue readingCAP Waiver Program Consumer Direction Training
1/03/25
2025 Community Alternatives Program Consumer Direction Initial Training Schedule Consumer direction is a way for Community Alternatives Program for Children (CAP/C) or Disabled Adults (CAP/DA) participants to take control of their health care and hire the workers they trust to...
Continue readingAdditional Information
Announcements
Beneficiaries and Families
