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NC Department of Health and Human Services
NC Division of
Medical Assistance

Community Alternatives Program

DMA Clinical Policy and Programs
Phone Number 919-855-4380
Fax 919-715-9025

30-Day Public Comments For Combined CAP/C and CAP/DA Waivers

In 2011, the Division of Medical Assistance (DMA) implemented a project to merge the Community Alternatives Program Waivers, Community Alternatives Program for Children (CAP/C) and Community Alternatives Program for Disabled Adults (CAP/DA).  In March 2014, The Centers for Medicare and Medicaid Services (CMS) implemented an HCBS Final Rule to encourage states to combine waivers that targets similar populations. 

Between 2011-2015, work groups met to identify waiver processes to aid in the merger of these two waivers. These work groups analyzed the six waiver assurances and case management practices to identify similarities, differences and methods for consolidation. Recommendations from these work groups were used to draft the proposal of the combined 2015 CAP waiver. This draft waiver will be submitted to CMS for review and approval with a proposed effective implementation date of Oct. 1, 2015.

Prior to the waiver submission to CMS, this waiver is being posted for a 30-day public comment period.  This public comment posting provides an opportunity to share comments or recommendations. Any comments or recommendations will be carefully considered for possible inclusion in the draft waiver prior to the submission to CMS.

The 30-day public comment period starts on Friday, Aug. 28, 2015 and will end on Saturday, Sept. 26, 2015. You can submit your comments to this email address  or you can call this voice mail number (919) 855-4210 to leave a comment.

What is a Waiver

North Carolina operates several programs to provide home and community care as a cost-effective alternative to institutionalization. These are known as "waiver" programs because standard program requirements are waived to allow the program to operate. These waiver programs provide some services that otherwise are not covered under Medicaid.

Overall, the CAP programs have been very successful in giving individuals a choice and maintaining costs at the same time. The programs have allowed those who otherwise would be institutionalized to remain with their family in familiar surroundings. All of these benefits accrued at a cost-saving to Medicaid in comparison with the cost of institutional care.

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins. Ready NC Connect NC