CAP/C 1915(c) Waiver

Community Alternatives Program for Children Amended Waiver Application Update

A draft application for the 1915(c) Home and Community-Based Services (HCBS) Waiver for the Community Alternatives Program for Children (CAP/C) is posted on the Medicaid State Plan Public Notices page,, for a 30-day public comment period, from Aug. 23 to Sept. 21, 2019. 

The current CAP/C waiver, with an effective date of March 1, 2017, will continue to operate at the levels that were previously approved. 

The CAP/C unit within NC Medicaid will host an informational session for CAP/C beneficiaries and other stakeholders to learn about the updates made to the CAP/C waiver application. 

CAP/C Stakeholder Engagement: 1915(c) Waiver Update

Tuesday, Sept. 17, 2019 12-2 p.m.
Phone: 919-855-4343

During the webinar presentation, comments and questions may be voiced. You may also submit comments to or by leaving a voice mail at 919-855-4343.

Hard copies of the waiver application are available at your local Department of Social Services office. 

CAP/C Waiver Approved by CMS

We are pleased to announce the Community Alternatives Program for Children (CAP/C) 1915(c) Home and Community-Based Services (HCBS) waiver has been approved by the Centers for Medicare & Medicaid Services (CMS). The waiver took effect March 1, 2017.

The work and input of families, advocates and providers during the process of revising the waiver is a clear indication of how we can make our system better for all involved by working together. We still have a significant amount of work to do in the implementation of the waiver and related policies, and continued involvement is essential for this process. 

For now, we should celebrate that beginning March 1, 2017, we were able to start the process of determining eligibility and begin serving the children who had to be placed on a waiting list during the submission process.  

Thank you again for your support and guidance during this process, and I look forward to our continued collaboration to assure that children with complex medical needs are provided high quality service through our Medicaid program.

For more information, read the February, 2017, Special Medicaid Bulletin, CAP/C Waiver Renewed by Centers for Medicare & Medicaid Services, or click on one of the links below: 

Dave Richard
Deputy Secretary for NC Medicaid

CAP/C Waiver Services

  • Assistive technology
  • CAP/C in-home aide
  • Care advisor
  • Case management
  • Community transition service
  • Financial management services
  • Home accessibility and adaptation
  • Motor vehicle modifications and adaptation
  • Participant goods and services
  • Pediatric nurse aide services
  • Respite services (institutional and non-institutional)
  • Specialized medical equipment and supplies
  • Training, educaiton and consultative services