Community Alternatives Program for Disabled Adults (CAP/DA)
NOTE: For information about CAP/C stakeholder engagement activities, please visit the CAP/C 1915(c) Waiver web page.
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.
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