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
NC Medicaid Long Term Services and Supports Office Hours
6/13/25
NC Medicaid is hosting program specific office hours. The sessions will allow stakeholders to ask questions, address concerns, and request technical assistance. Click Here for LTSS Office Hours
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 readingAdditional Information
Announcements
Beneficiaries and Families
