Community Alternatives Program
for Disabled Adults
(CAP/DA)
At a Glance
Community Alternatives Program for Disabled Adults
CAP/DA is a 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 a Medicaid beneficiary who is medically fragile and at risk for institutionalization if home- and community-bases services approved in the CAP/DA waiver were not available. CAP/DA services allow the beneficiary to remain in or return to a home- and community-based setting by supplementing, rather than replacing, the formal and informal services and supports already available to an approved Medicaid beneficiary.
Who is eligible for the CAP/DA program?
- A disabled adults 18 years old and older.
- An individual who is determined to require a level of institutional care under the State Medicaid Plan.
- An individual who needs at least one or more CAP/DA home- and community-based service based on a reasonable indication of need assessment that must be coordinated by a CAP/DA case manager.
What services are provided under the CAP/DA waiver?
- Adult day health
- CAP In-home aide
- Equipment, modification and technology
- Meal preparation and delivery
- Respite services - Institutional respite and In-Home Aide respite
- Personal Emergency Response Services (PERS)
- Specialized medical supplies
- Goods and services – Participant, Individual-directed, Pest eradication, Nutritional services, Non-medical transportation and Chore services-declutter and garbage disposal
- Community transition
- Community integration
- Training, education and consultative
- Coordinated caregiving
- Case management – case management and care advisement
- Personal assistance
- Financial management
- Consumer directed services
CAP/DA Eligibility and Application
- 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/DA case management entity in the county of residence of the applicant to request a CAP/DA referral.
- A full list of CAP/DA Case Management Providers can be found here.
- If you are a CAP/DA case management entity or a qualified home- and community-based provider, a referral can be completed in the e-CAP system.
Announcements & Events
CAP/DA Waiver Renewal Information Session
2/25/25
The Centers for Medicare & Medicaid Services (CMS) has approved the renewed Community Alternatives Program for Disabled Adults (CAP/DA) 1915(c) Home and Community-Based Services (HCBS) waiver, effective Nov. 1, 2024, through Oct. 31, 2029. For additional information click here.
Continue reading2025 CAP Front Porch Chats
1/03/25
The 2025 CAP Front Porch Chat schedule is listed below for individuals participating in the CAP Waiver Programs. 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 here!...
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 readingCAP for Disabled Adults 1915(c) Home and Community-Based Services Waiver Renewal
8/28/24
The CAP/DA waiver is in the process of being renewed, please click the link below to view the Waiver Application and to review the announcement from DHB. CAP/DA Waiver Application | Announcement
Continue readingAdditional Information
Announcements
Beneficiaries and Families
