Community Alternatives Program for Children (CAP/C)


Amended Waiver Posted and Request for Public Comment

The Community Alternatives Program for Children (CAP/C) 1915(c) Home and Community-Based Services (HCBS) waiver was scheduled to expire on June 30, 2015. However, the Centers for Medicare and Medicaid Services (CMS) granted the Division of Medical Assistance (DMA) an extension through Nov. 30, 2016 to work closely with stakeholders of this waiver. The proposed amended CAP/C waiver will be posted for Oct. 20, 2016 for 30 days. DMA is seeking comments and suggestions on the amended waiver from interested parties.

All comments and suggestions must be submitted to DMA by Nov. 19, 2016.

Work Group on CAP/C Waiver Scheduled

DMA is continuing to host workgroup meetings for CAP/C. The next meeting is Thursday, Nov. 3, 2016, 2 p.m. – 5 p.m., conference room 297 in the Kirby Building, 1985 Umstead Drive, on the Dorothea Dix campus in Raleigh.

The workgroup will discuss the changes and programmatic processes proposed to CMS. The meeting will also allow time to receive comments, suggestions and recommendations.

A dial-in number will be provided for those who are not able to attend in person. The dial-in conference number is 888-278-0296 and the call-in passcode is 6102836.  To register to attend in person, please use this registration link.

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

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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