Community Alternatives Program for Disabled Adults (CAP/DA)
The CAP Waiver will be submitted to the Centers for Medicare and 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.
There are two options under CAP/DA:
- Traditional option (CAP/DA)
- Consumer-directed option (CAP/Choice). This is a consumer-directed care option for disabled adults who want to remain at their primary private residence and have increased control over their own services and supports. Customers and their caregivers direct their own services and supports, which are provided in their own primary private residence and community. It offers customers choice, flexibility and control over types of services they receive, when and where services are provided, and who delivers the services.
CAP/DA or CAP/Choice supplement formal and informal services and supports already available to a beneficiary. CAP/DA or CAP/Choice services are for situations where no household member, relative, caregiver, landlord, community, agency, volunteer agency or third-party payer is able or willing to meet all medical, psychosocial and functional needs of the beneficiary.
CAP/DA Waiver Services
Medical Assistance Clinical Section