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NC Medicaid »   Providers »   Forms »   Community Alternatives Program Forms

Community Alternatives Program Forms

Forms for CAP/C and CAP/DA

      Appendix K COVID-19 Flexibilities (April 16, 2020)

  • Standard Operating Procedure
  • COVID-19 CAP Toolkit
  • Consumer Direction Lite Fact Sheet
  • CAP Retainer Payment Fact Sheet
  • Daily COVID-19 Monitoring Log
  • CAP COVID-19 Presentation

________________________________________________

  • Self-Assessment Tool (DMA-3072)
  • Individual Risk Assessment (DMA-3073)
  • CAP Referral Form

 

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https://medicaid.ncdhhs.gov/providers/forms/community-alternatives-program-forms