HS Care Services, LLC

Community Alternatives Program for Disabled Adults (CAP/DA)

Our Mission

We are dedicated to life.

Use the best available resources to give quality care to our clients with compassion and empathy.

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4312 Wake Forest Road, Ste 2D-1, Raleigh, NC 27609

CAP/DA

The Community Alternatives Program for Disabled Adults (CAP/DA) is a Medicaid Home and Community–Based Services (HCBS) Waiver Program authorized under § 1915(c) of the Social Security Act.

Within Federal guidelines, States are given the freedom to develop home and community-based services waivers (HCBS Waivers) to meet the needs of people who prefer to get long-term care services and supports in their home or community, rather than in an institutional setting.

  • Purpose of CAP/DA

Enable eligible beneficiaries to remain in their homes or to return to their homes from nursing facilities and live as independently as possible.

  • Supplement rather than replace the formal and informal services and supports available to an individual.
  • Prevent or reduce institutionalizations by providing case management and other needed waiver services.

 Who is Eligible CAP/DA

  • Any person 18 years of age and older who requires Nursing Facility Level of Care (NF LOC).
  • Lives in a private residence and is at risk of institutionalization.
  • Lives in a Nursing Facility and desires to return to a private residence. – A private residence: single family living arrangement- the beneficiary’s or relative family home with no more than three unrelated people.
  • Requires long-term care support at a level typically provided in an institution directly related to a documented medical diagnosis and functional care need as assessed quarterly.
  • Requires two waiver services monthly (excluding incontinence supplies, personal emergency response system, and meals preparation and delivery).
  • Able to have his or her health, safety and well-being maintained at home within the CAP/DA budget limits.
  • Has an emergency back-up plan with adequate formal and informal support to meet the basic needs outlined in the CAP/DA assessment and Plan of Care to maintain their health, safety and well-being.
  • Does not want to be institutionalized, but desires to live in home community with the assistance of formal and informal supports.
  • Qualifies for Medicaid for the Aged (MAA), for the Blind (MAB) and for the Disabled (MAD) & DSS Determination of LTC.

How to make a CAP/DA referral?

 

Contact a local CAP/DA case management entity in the county of residence of the applicant to request a CAP/DA referral.

If you are a CAP/DA case management entity or a qualified home- and community-based provider, a referral can be completed in the e-CAP system.

A referral may also be made by calling 919-855-4340 or faxing the completed referral form to 919-715-0052