Community Alternatives Program for Children (CAP/C)

Waiver Update

The CAP Waiver will be submitted to the Centers for Medicare & Medicaid Services (CMS) on December 28, 2015 for review and approval. CMS has 90 days from the submission date to review and approve the proposed waiver. Until the waiver is approved by CMS and final guidance is provided by DMA, current waiver practices and procedures remain in place. Continue to follow the guidelines, policies and directives of your current waiver.

Fee Schedules

Clinical Coverage Policy 3K-1, Community Alternatives Program for Children

CAP/C Waiver Documents

CAP/C Brochure - English or En Espanol

CAP/C Parent Handbook

Provider Manual for CAP/C Case Managers

Cover Page, About this Manual, and Table of Contents

Section 1. CAP/C Concepts and Principles 

Section 2. CAP/C General Information 

Section 3. CAP/C Services and Supplies 

Section 4. Initiating CAP/C

Section 5. Continuing CAP/C 

Section 6. Stopping or Reducing Services 

Section 7. Due Process 

Section 8. Quality Assurance 

Appendices 

Pediatric Training Presentation

Module 1: Physical Development

Module 2: Psychosocial Development 

Module 3: Disorders Commonly Seen in CAP/C Children 

Module 4: Working with CAP/C Families and with DMA 

Normal Pediatric Developmental Milestones 

Certification of Completion 

Case Manager Information

CAP/C Critical Incident Report (DMA-3201)

CAP/C FL-2 Discrepancy Resolution Form 

CAP/C Participation Discontinuation Notice

CAP/C Participation Notice (DMA-3057)

CAP/C Physician's Form (DMA-3063)

CAP/C Referral Form (DMA-3163)

CAP/C Service Authorization Discontinuation Notice

Verification of Employment for CAP/C

Contacts

CAP/C Case Management Providers and DMA Consultants by Agency

CAP/C Case Management Providers and DMA Consultants by County

Medical Assistance Clinical Section
Phone: 919-855-4340
Fax: 919-715-0052

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