Community Alternatives Program for Children (CAP/C)

Important Message from Dave Richard

A core value of DHHS and the Medicaid program is our collaboration with stakeholders. The public comment period which began on April 6, 2016 is designed to gain critical feedback as we work to improve our program.  We received more than 400 individual comments regarding the proposed policy changes for CAP/C and CAP/DA, which have helped us gain a better understanding of how changes may impact families.

Upon review of the concerns expressed, DHHS has decided to suspend the waiver approval process with the Centers for Medicare & Medicaid Services while we work with stakeholders – families, providers and advocates – to address those concerns.

We will communicate our process for involving stakeholders by June 3, 2016. Our goal is to work with the stakeholder community to address those concerns and develop policy that continues to provide support for children and adolescents served by the program within the guidelines for home- and community-based waivers and other Medicaid programs for children and adolescents.

We greatly appreciate the public participation in the process, particularly the families who shared the stories of how CAP/C has provided support for their families.

We look forward to finding the most appropriate path forward.

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 


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


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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