Effective July 3, 2025, claims submitted without the ordering or referring physician National Provider Identifier will be adjudicated with a pay status for the Community Alternatives Program for Children and Disabled Adults.
Topics Related to Community Alternatives Program (CAP/C & CAP/DA) Providers
NC Medicaid Guidance on Sunsetting of Community Alternatives Program Waiver Appendix K Flexibilities
NC Medicaid Hurricane Helene flexibilities for Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA) Waiver programs will expire on June 30, 2025.
NC Medicaid is hosting program specific office hours. Sessions will provide an opportunity for stakeholders to request technical assistance about issues and concerns.
Theme: “We’re All in This Together 3.0”
Forum to be held June 4-5 in Raleigh.
Vaya Health provides outreach, education and transition coordination.
Information session scheduled for Jan. 15, 2025.
Providers who support Community Alternatives Programs for Children and or Disabled Adults Medicaid Beneficiaries enrolled in NC Medicaid Direct.
This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.
Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries