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Community Alternatives Program for Disabled Adults (CAP/DA)


Community Alternatives Program for Disabled Adults Renewal Waiver Application Update

A draft application for § 1915 (c) Home and Community-Based Services (HCBS) Waiver for the Community Alternatives Program for Disabled Adults (CAP/DA) was submitted to the Centers for Medicare and Medicaid Services (CMS) on March 1, 2019 for review and approval. CMS continues to review the renewed waiver application and has recommended NC Medicaid make edits to specific sections in the application.

The CAP/DA unit within NC Medicaid will host an informational session for stakeholders on June 12, 2019 from 2-4 p.m. to learn about the updates made to the CAP/DA waiver application.

You may register for this informational webinar here.  

Registration is also available on the NC Medicaid CAP/DA website or the e-CAP portal. During the webinar presentation comments and question may be voiced. You may also submit comments pertaining to the waiver application updates to or by calling 919-855-4343. An electronic version of the renewal application is available on the NC Medicaid and e-CAP websites.  

Home and Community-Based Services Waiver Orientation and Educational Training

During the month of June 2019, NC Medicaid Long-Term Services and Supports will host a Community Alternatives Program for Disabled Adults (CAP/DA) Home- and Community-Based Services (HCBS) waiver orientation and educational training for CAP/DA HCBS providers.

This training is intended to provide an in-depth overview of the newly implemented workflow and business steps to render CAP/DA services as outlined in the renewed CAP/DA HCBS waiver application and the amended CAP/DA Clinical Coverage Policy, 3K-2.

Who Should Attend

Intended participants are adult day health providers, meal preparation and delivery providers, personal emergency response service providers, personal care providers, financial management providers and durable medical equipment providers. 


For your convenience, the orientation and educational training will be hosted by webinar. Listed below are two duplicative webinar sessions for your preference of attendance. The duration of the training session is planned for two hours. This timeframe will provide ample opportunity to review and demonstrate new workflow requirements and to address questions from attendees. 


Training Date/Time

Webinar Registration Information

June 20, 2019
2 - 4 p.m.

June 25, 2019
10 a.m. - 12 p.m.


Community Alternatives Program for Disabled Adults Waiver Application Submitted

The Community Alternatives Program for Disabled Adults Waiver Application was submitted to The Centers for Medicare & Medicaid Services (CMS) Trareview and approval on March 1, 2019. 

Click here to view the CAP/DA Renewed Application. 

NC Medicaid has requested from CMS an extension period to continue to administer the CAP/DA waiver through CMS’ review and approval process. 

During the public comment period (Jan. 4 – Feb. 4, 2019), a total of 300 comments were received. From those comments three (3) sections were updated in the draft waiver application, Appendix B, C and D. The updates were made only to provide additional clarity; the intended business processes were not changed. Click here to view a summary of the comments. 

Consumer Direction Model of Care

There are two options under CAP/DA:

  1. Traditional option (CAP/DA)
  2. CAP/Choice. This is a consumer-directed care option for disabled adults who want to remain at their primary private residence and have increased control over their own services and supports. Customers and their caregivers direct their own services and supports, which are provided in their own primary private residence and community. It offers customers choice, flexibility and control over types of services they receive, when and where services are provided, and who delivers the services.

CAP/DA or CAP/Choice supplement formal and informal services and supports already available to a beneficiary. CAP/DA or CAP/Choice services are for situations where no household member, relative, caregiver, landlord, community, agency, volunteer agency or third-party payer is able or willing to meet all medical, psychosocial and functional needs of the beneficiary.


CAP Forms

Fee Schedules

Clinical Coverage Policy 3K-2, Community Alternatives Program for Disabled Adults and Choice Option (CAP/DA-Choice)

CAP/DA Waiver 

CAP/DA Waiver Comparison 

CAP/DA Waiver Services

  • Adult day health
  • Personal care aide
  • Home accessibility and adaptation
  • Meal preparation and delivery
  • Institutional respite services
  • Non-institutional respite services
  • Personal Emergency Response Services
  • Specialized medical equipment and supplies
  • Participant goods and services
  • Community transition services
  • Training, education and consultative services
  • Assistive technology
  • Case management
  • Care adviser (CAP/Choice only)
  • Personal assistant (CAP/Choice only)
  • Financial management services (CAP/Choice only)


CAP/DA Lead Agency List

NC Medicaid Clinical Section
Phone: 919-855-4340
Fax: 919-715-0052

2019 Archives

2019 Archives

Community Alternatives Program for Disabled Adults Waiver Application Stakeholder Sessions

The CAP/DA unit within NC Medicaid will host informational webinars for stakeholders in Jan. 2019 to learn about the proposed changes included in the waiver application and give stakeholders an opportunity to make comments.

Comments pertaining to the renewal CAP/DA waiver application may also be forwarded to or by calling 919-855-4343. An electronic version of the renewal application is available on the NC Medicaid, NCTracks and e-CAP websites and a paper version can be accessed at each county Department of Social Services office. 

NC Medicaid engaged stakeholders through statewide listening sessions, focus groups, work sessions, public comments and information sharing. The recommendations gathered from these stakeholder engagements informed the design of the proposed renewal CAP/DA HCBS waiver. 

2018 Archives

2018 Archives

CAP/DA Waiver due to Hurricane Florence

Waiver Renewal Application

The 1915 (c) Home and Community-Based Services Waiver for the Community Alternatives Program for Disabled Adults (CAP/DA) is scheduled to expire on Sept. 30, 2018. The NC Division of Medical Assistance (DMA) must submit a waiver renewal application to the Centers for Medicare and Medicaid Services (CMS) no later than June 1, 2018, 90 days prior to the expiration of the waiver, to ensure the continuation of the waiver. In addition to the waiver renewal application, the Clinical Coverage Policy, 3K-2, Community Alternatives program for Disabled Adults (CAP/DA), will be revised to support the clinical operation of CAP/DA.

Stakeholder Engagement of Core Focus Groups

Focus Group Q Focus Group CC Focus Group S Focus Group E
Primary objective is to design the waiver Quality Improvement Strategies and Continuous Quality Improvement Initiatives Primary objective is to identify case management activities and timeliness; safeguards for interest-free case management and eligible providers of CM/HCBS and required responsiblities of partnering entities. Primary Objective is to identify and define HCBS services to maintain and promote community integration civen the changing needs of target population  Primary ojective is to identify and define waiver entry eligibility, health, safety and well-being criteria

Next Planning Initiatives

Annual Community Alternatives Program (CAP) Consumer-Direction Beneficiary Education and Enrichment Training

North Carolina Medicaid will host annual training and educational sessions in consumer-direction during the months of July and August 2018. This annual training is for individuals currently participating in the consumer-direction program and for those individuals interested in participating in the consumer-direction program.  The educational and enrichment trainings will consist of:

  • Overview of consumer-direction
  • Eligibility to consumer-direct
  • Enrollment requirements
  • Recruitment of employees
  • Managing a budget

You will have the flexibility to participate in this annual training in-person or by webinar. The training dates and registration information are listed below. The training material to be reviewed is available here.


Tuesday, July 31, 2018
2 - 4:30 p.m.
Dorothea Dix Park- Brown Building, Rm. 104
801 Biggs Drive
Raleigh, NC 27603
Contact number: 919-855-4340
Wednesday, Aug. 1, 2018
5 - 7 p.m. 
Contact number: 919-855-4340
Monday, Aug. 6, 2018
2 - 4:30 p.m. 
Guilford Co. Dept. of Health and Human Services, Rm. 123
1203 Maple St.
Greensboro, NC 27405
Contact number: 919-855-4340
Thursday, Aug. 9, 2018
5 - 7 p.m. 
Contact number: 919-855-4340
Tuesday, Aug. 14, 2018
2 - 4:30 p.m.
New Hanover Library - Northeast Branch
Oleander Room
(entrance located on the side of the Northeast Library building facing Military Cutoff Road)
1241 Military Cutoff Road
Wilmington, NC 28405

Contact Rachel Lane if you have questions about registration at or 919-855-4375.

Contact Racine Monroe if you have questions about the consumer-direction program at or 919-855-4388.

2017 Archives

2017 Archives

Past Inititiaves

Listening sessions were held across North Carolina from Oct. 24 through Nov. 8, 2017

Summary of trends from comments:

  • Additional waiver slots
  • Management of behavioral health services to meet mental health and substance abuse needs
  • Expansion of waiver services to meet changing demographic of target population
  • Innovative strategies to meet needs for transportation

The Division of Medical Assistance held five (5)  listening sessions across North Carolina to allow interested stakeholders to participate in a collaborative dialogue focused on key areas of the waiver renewal.  These sessions were held in the months of  March and April in the cities of Raleigh, Kannapolis, Lenoir, Hendersonville and Greenville , and included 125 stakeholders. 

During the sessions, focus groups concentrated on topics to determine how well the programs are working, areas for improvement, and creative ways to meet the needs of patients who receive CAP/DA services. Common comment trends included:

  • Provide greater access to transportation
  • Increase rates
  • Provide more training and education to beneficiaries and providers of the program
  • Provide opportunity to use more technology for engagement with beneficiaries

Many of the participants commented that they found the sessions engaging and that the groups allowed for a more focused dialogue and the opportunity to hear creative thoughts and other opinions.  The comments from these listening sessions will be incorporated in the renewal application for the CAP/DA HCBS waiver, which will expire on Sept. 30, 2018.   

Prior Approval for CAP/C and CAP/DA

Effective Feb. 5, 2017, 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. A PA record was created and electronically transmitted to NCTracks for each new LOC determination decision made after Feb. 5, 2017, and for each currently approved CAP waiver service for all currently eligible CAP beneficiaries. Click here for more information

Direct Service Provider (DSP) Interface

Effective March 2017, a Direct Service Provider( DSP) Interface was implemented to streamline CAP/DA case management processes in the areas of eligibility, service plan development and authorization and care coordination. Direct Service Providers authorized to provided CAP/DA services must register to be a DSP user of the e-CAP system by accessing this link.

Webinar Trainings

Feb. 23, 2017 - New Waiver Objectives

Feb. 27, 2017 - Eligibility Criteria

Feb. 28, 2017 - How will waiver services meet my needs?

February 21, 23, 27 and 28, 2017 - DSP Waiver Objectives

Aug. 20, 2017 - Alzheimer's Disease and Related Disorder Priority Slot Management