Community Alternatives Program for Children (CAP/C)

Announcement

The N.C. Division of Medical Assistance (DMA) submitted the Community Alternatives Program for Children (CAP/C) Home and Community-Based Services (HCBS) waiver amendment to the Centers for Medicare & Medicaid Services (CMS) on Dec. 2, 2016. More information is available in a December 2016 Special Medicaid Bulletin  and proposed Clinical Coverage Policy revision to the Community Alternatives Program for Children 1915(c) HCBS Waiver. To submit a public comment on the proposed waiver amendment, visit the Proposed Clinical Coverage Policy web page on the DMA website or call 919-855-4123.

CAP/C Stakeholder Engagement Plan

In order for DHHS to fully engage stakeholders as we develop a plan to address concerns with the CAP/C waiver, we have established a working group that consists of families, providers and other advocates to assist in the structure of our path forward. The working group held six meetings from July through September and assisted DMA in establishing a draft CAP/C to present to the Centeres of Medicare & Medicaid Services. 

The Division of Medical Assistance also held six listening sessions across North Carolina for families to engage with our staff regarding their specific concerns.

Additionally, we established a specific time period during July and August for families and concerned individuals to meet one-on-one with DMA staff in order to privately address concerns in a different setting. As of now, a CAP/C proposal is being drafted and will be posted for public comment soon. Visit the CAP/C 1915(c) Waiver web page for more information.

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

Public Comments Received Regarding CAP/C Waiver

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 Service Request Form

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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