Topics Related to Community Alternatives Program (CAP/C & CAP/DA) Providers
This announcement is to inform Community Alternatives Program for Children providers of revisions to the technical changes in Clinical Coverage Policy, 3K-1, Community Alternatives Program for Children (CAP/C).
N.C. Division of Medical Assistance (DMA) implemented a prior approval (PA) process for the Community Alternatives Program for Children and Disabled Adults (CAP/C and CAP/DA) home- and community-based services waivers for Level of Care (LOC) and CAP waiver services.
The CAP/C and CAP/DA waivers rely on an electronic system called e-CAP to manage PA transmittals to NCTracks for CAP claim reimbursement and adjudication. The system is operated by VieBridge.
The CAP/C and CAP/DA waivers rely on an electronic system called e-CAP to manage PA transmittals to NCTracks for CAP claim reimbursement and adjudication. The system is operated by VieBridge.
The Community Alternatives Program for Disabled Adults (CAP/DA) Waiver allows Adult Day Health (ADH) centers licensed to provide overnight respite to be providers of CAP/DA Institutional Respite.
As previously communicated, Reimbursement Rate Increase, North Carolina Medicaid retroactively increased the rate for Personal Care Services and the Community Alternatives Program for Children.