Community Alternative Program for Disabled Adults (CAP/DA)

What it is:

A Medicaid wavier program designed to authorize an initial or revised service plan (POC) for a waiver participant using the flexibilities in the approved 3K-2 for the following waiver services:

  • Case management
  • Participant and individual directed goods and services
  • Training/education/consultative services
  • Community transition
  • Home accessibility and adaptation or equipment, modification, and technology


To keep disabled adult safely in their home and to prevent skilled nursing placement

Who Can Benefit:

  • A disabled adult ages 18 and up with NC Medicaid.
  • Someone having difficulty managing household tasks such as cooking, cleaning, shopping, but wants to remain at home.
  • Someone who is trying to decide whether to move in with family, move to an apartment, or move to an assisted living facility


  • To keep each client in their home safely to prevent long-term care placement
  • Ongoing case management includes initial and annual assessments of level of care and reasonable indication of need.
  • Coordinate with wavier providers throughout the community monthly to ensure the participate is receiving adequate services and supplies to remain safely in their home.

NOTE: There is a waiting list for this service.

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