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Community Alternatives Program for Children (CAP/C)

Attention:

Please join us for our first Front Porch Chat of 2024!

Date: Thursday, January 18, 2024

Time: 11:30AM-12:15 EST

Open to NC Medicaid beneficiaries receiving CAP services and their legal guardians.

Meeting will be virtual. Please register through the following link: https://kepro.zoom.us/meeting/register/tZYrcuGqqzMtGt0zoCJd8sr82XuW_ls6Gk30 

 The meeting will be centered around the following objectives:

  1. Intro.
  2. Scope of Work as it relates to CAP
  3. Vision for Front Porch chats, their frequency, time/date for future planning
  4. Referral process and website review
  5. Telephonic CAP assessments

We look forward to having you there!

CAP/C Overview

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 

How to Make a 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 on the Master List
  • 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

For more information, visit  https://medicaid.ncdhhs.gov/capc 

For more frequently asked questions, visit - FAQs