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NC Department of Health and Human Services
NC Division of
Medical Assistance
NC Division of Medical Assistance - High quality health care through Medicaid and Health Choice for Children.

Community Alternatives Program for Children (CAP/C)

What is CAP/C?

The Community Alternatives Program for Children (CAP/C)  (also known as the Katie Beckett waiver) provides home and community based services to medically fragile children who, because of their medical needs are at risk for institutionalization in a nursing home. Examples of children who may be eligible for CAP/C include children with ventilators, tracheostomies, feeding tubes, severe seizures, and those children who need help with activities such as bathing, dressing, grooming, and toileting when the child, for medical reasons, is not able to do or learn to do those tasks independently.

What Does CAP/C Cover?

All families on CAP/C have a case manager to assist them with identifying their needs, developing a plan of care to meet those needs, and monitoring and coordinating the services and supplies in that plan of care.

In addition to case management, families must require and use one of the following additional services, at least once every 90 days:

  • In-home nurse or nurse aide care
  • Certain home modifications and vehicle modifications to enhance the child’s safety and independence
  • Palliative care (art therapy, music therapy, counseling, and bereavement counseling offered both to the child and to the family)
  • Adaptive tricycle
  • Caregiver training and education(funding of the registration fee or tuition for a workshop, seminar, or class that will enhance a caregiver’s ability to provide care)

Additional services available to families who already receive case management and one of the above services include:

  • Respite care (in-home or institutional nursing care provided in order to give the child’s caregiver some leisure time)
  • Re-usable diapers and the disposable liners used with them

Children on CAP/C also have access to regular Medicaid services, for example; physical therapy, occupational therapy, speech therapy, and medical equipment.

Who is Eligible?

CAP/C is available to any child birth through 20 years of age who meets both the Medicaid eligibility criteria and the CAP/C eligibility criteria.  The Medicaid criteria for CAP programs are not the same as the regular Medicaid criteria. CAP/C criteria include that the child must live in a private residence, must be able to be cared for safely at home, must require the same level of care as a child in a nursing home or hospital, and must have a family willing to participate in the care and in the care planning for their child.

Contacts Ready NC Connect NC