SPECIAL BULLETIN: Community Alternatives Program for Disabled Adults Waiver Renewed by CMS

Tuesday, October 1, 2019

The Community Alternatives Program for Disabled Adults (CAP/DA) §1915(c) Home and Community-Based Services (HCBS) waiver application has been renewed by the Centers for Medicare and Medicaid Services (CMS), effective Nov. 1, 2019 through Oct. 31, 2024. The waiver approval letter and waiver document can be viewed here.

The renewed CAP/DA waiver will provide the following HCBS:

  • Adult day health
  • CAP in-home aide
  • Case management
  • Community transition
  • Community integration
  • Coordinated caregiving
  • Equipment, modification and technology
  • Goods and services – participant; individual-directed; chore services for declutter and garbage disposal; non-medical transportation; nutritional services; pest eradication
  • Financial management
  • Meal preparation and delivery
  • Personal emergency response services
  • Personal assistance
  • Respite services, institutional and in-home
  • Specialized medical supplies
  • Training, education and consultative services

The renewed CAP/DA waiver continues to allow self-directed care through consumer-direction.

Beginning the week of Oct. 14, 2019, NC Medicaid will host orientation trainings in the new business areas included in the renewed CAP/DA waiver.

Representatives from CAP/DA case management entities shall communicate the renewal of the CAP/DA §1915(c) HCBS waiver to the following stakeholders:

  • CAP/DA waiver beneficiaries
  • CAP/DA primary caregivers
  • Individuals interested in CAP/DA
  • Local CAP/DA advisory committees
  • CAP providers
  • Primary physicians
  • Other community referral agents

To review the CAP/DA waiver approval letter and waiver document, please visit NC Medicaid’s State Plan Public Notices web page or CAP/DA web page.

Medicaid Long-Term Services and Supports/CAP, (919) 855-4340