Community Alternative Program in North Carolina
(Community Alternative Program for Disabled Adults)
Services allow adults (age 18 and older) who qualify for nursing facility care to remain in their private residences. This program enhances the quality of life for participants and their families/caregivers while offering cost-effective care compared to the Medicaid cost for nursing facility care.
Case Management Entity Responsibilities:
- Submit and process service requests and referrals for individuals seeking to participate in the CAP/DA Waiver.
- Assess applicants and beneficiaries annually to determine ongoing needs for CAP/DA Services.
- Provide assistance in obtaining documentation from medical staff to monitor ongoing needs.
- Educate caregivers of children, the elderly, and the disabled adult community about the CAP/DA Waiver.
- Offer case management services.
- Advertise care options through consumer direction.
- Ensure that waiver and non-waiver services are accurately listed on the POC initially, annually, and during POC revisions.
- Conduct regular and routine beneficiary monitoring to ensure health, safety, and well-being, including quality assurance reporting and beneficiary risk mitigation.
- Maintain an Advisory Committee to support local program development and improve resources for CAP/DA beneficiaries.
- Develop case management procedures according to NC Medicaid standards and local policies, sharing these procedures with appropriate providers and organizations.
For individuals seeking support beyond the CAP/DA Waiver, we offer psychological testing and behavioral health services to address various mental health and wellness needs. These services are integral to ensuring the overall well-being of our clients.
