Community Alternatives Program for Children (CAP/C)

Announcements

  • CAP/C Nursing Services will be Offered Through Private Duty Nursing

In preparation of the newly amended waiver, nursing services, which used to be offered as a CAP/C waiver service, will now be offered through State Plan Private Duty Nursing (PDN). DMA will begin the transition process from CAP/C nursing to private duty nursing (PDN) in the month of February 2017. The number of nursing hours approved for the CAP beneficiary will remain the same during the transition.

The transition of nursing services will not require the case management agency or the assigned service provider to make any changes or revisions to the CAP service plan or the PDN care plan(s). Ongoing approval of nursing hours will be reassessed against the newly revised PDN policy, as well as Early and Periodic Screening, Diagnosis and Treatment (EPSDT) requirements during the next annual reassessment which occurs after September 2017.

As the assigned Case Manager, you are responsible for monitoring your CAP/C child’s initial transition to PDN and conducting quarterly reviews thereafter to ensure services are rendered per your CAP/C child’s plan of care.

DMA will host office hours throughout March 2017 on Wednesdays from noon to 1 p.m. in person or by phone for family members who have questions or concerns. Interested individuals are able to schedule 20 minute appointments to discuss concerns, provide suggestions and ask questions. In-person appointments will be held in Raleigh at the DMA office, Kirby Building, 1985 Umstead Drive, Raleigh, NC and require advance scheduling.

All plan of care revisions and change in status assessments currently in the e-CAP/C workflow, musts be submitted and approved by Feb. 28, 2017.

If you have any questions, please consult your CAP/C consultant. 

  • Effective Feb. 5, 2017 - Prior Approval for CAP/C and CAP/DA

Effective Feb. 5, 2017, N.C. Division of Medical Assistance (DMA) will implement 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 will be 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 Coming in March 2017

The Community Alternatives Program for Children and Disabled Adults (CAP/C and CAP/DA) waivers rely on an electronic system called e-CAP to manage CAP eligibility determination activities, service plan development and monitoring tasks. As a way of streamlining processes and promoting a multidisciplinary team approach, the N.C. Division of Medical Assistance (DMA) will implement a direct service provider interface (DSP) in March 2017. Click here for more information

*NEW * Introductory Webinar Trainings

In preparation for the newly amended Community Alternatives Program for Children (CAP/C) Home and Community-Based Services waiver, the Division of Medical Assistance (DMA) will host a series of introductory webinar trainings for the CAP/C case management entities, CAP/C beneficiaries and their families and CAP/C direct service providers.

The following chart provides the schedules for the introductory webinar trainings.

Dates and Times Intended Audience Topic
Feb. 23 – 10 a.m.- noon CAP/C Case Management Entity New Waiver Objectives
Feb. 23, 2 - 4 p.m.  CAP/C Case Management Entity New Waiver Objectives
Feb 27, 10 a.m. - noon CAP/C Case Management Entity Eligibility Criteria
Feb 27, 2-4 p.m.  CAP/C Case Management Entity Eligibility Criteria

CAP/C Case Management Entities; please register for one of the training webinar series using the following links:

Feb. 23 - https://attendee.gototraining.com/rt/2629611081386916353

Feb. 27 - https://attendee.gototraining.com/rt/5191331337105114881

Dates and Times Intended Audience Topic
Feb. 28, 10 a.m. - noon CAP/C Beneficiary/Primary Caregiver How will waiver services meet my needs?
Feb. 28, 5-7 p.m. CAP/C Beneficiary/Primary Caregiver How will waiver services meet my needs?

CAP/C Beneficiary or primary caregiver; please register for one of the training webinar series using the following link: https://attendee.gototraining.com/rt/6551318369012979713

Dates and Times Intended Audience Topic
Feb. 21, 1 - 3 p.m  CAP/C Direct Service Providers (DSP) DSP Waiver Objectives
Feb. 23, 1 - 3 p.m.  CAP/C Direct Service Providers (DSP) DSP Waiver Objectives
Feb. 27, 10 a.m. - noon CAP/C Direct Service Providers (DSP) DSP Waiver Objectives
Feb. 28, 1 - 3 p.m.  CAP/C Direct Service Providers (DSP) DSP Waiver Objectives

Direct Service Providers: This is a joint training with VieBridge for the Direct Service Provider Webinar series listed on the e-CAP website: https://www.ncecap.net/CAPCProd/main.aspx.

Dates and Times Intended Audience Topic
Feb. 21, 1 - 3 p.m  CAP/C and CAP/DA direct service providers (DSP) DSP Waiverf Objectives
Feb. 23, 1 - 3 p.m. CAP/C and CAP/DA direct service providers (DSP) DSP Waiverf Objectives
Feb. 27 –10 a.m. - noon CAP/C and CAP/DA direct service providers (DSP) DSP Waiverf Objectives
Feb. 28, 1 - 3 p.m.  CAP/C and CAP/DA direct service providers (DSP) DSP Waiverf Objectives

CAP/C and CAP/DA  Beneficiary or primary caregiver; please register for one of the training webinar series using the following link: https://attendee.gototraining.com/rt/6551318369012979713

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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