Renewal of Community Alternatives Program for Disabled Adults (CAP/DA) Waiver

The Centers for Medicare and Medicaid Services (CMS) renewed the Community Alternatives Program for Disabled Adults (CAP/DA) §1915(c) Home and Community-Based Services (HCBS) waiver application. The waiver renewal is effective November 1, 2019, through October 31, 2024.

A Special Medicaid Bulletin on the renewal is posted to the NC Medicaid and NC Tracks webpages.

County agencies must share the effective date of the CAP/DA waiver renewal with all Community Alternatives Program for Disabled Adults (CAP/DA) Stakeholders and direct the Stakeholders to the Special Medicaid bulletin location.

If you have any questions regarding this material, please contact Wrenia.bratts-brown@dhhs.nc.gov, Waiver Operations Manager, CAP, Long-Term Services and Supports.



The Community Alternatives Program (CAP) programs are Medicaid home- and community-based services waivers granted by the Health Care Financing Administration (HCFA).

The CAP programs allow North Carolina to use Medicaid funds to provide home- and community-based services to Medicaid recipients who require institutional care (placement in a nursing facility), but for whom care can be provided cost-effectively and safely in the community with CAP services. CAP participants must meet all Medicaid eligibility requirements.

North Carolina has CAP waivers to provide services to a limited number of persons in specific groups within the state:

  • CAP for children (CAP/C)
    To get on the waiting list for CAP/C contact the following:

Amazing Kids of NC – 919-435-6970

Jordan Management Group – 877-768-1901

RHA Health Services – 888-207-7828

Walkers Home Care – 252-432-6308

Holland Case Management – 919-482-3595

  • CAP for disabled adults (CAP/DA)
    To get on the waiting list for CAP/DA contact Resources for Seniors

  • CAP for Innovations for intellectually/developmentally disabled children or adults
    To get on the waiting list for CAP Innovations, please contact Alliance Behavioral Healthcare.

To participate in the CAP program, individuals must apply for Medicaid first. There is not a separate application process for CAP. Visit our Adult Medicaid section to learn how to apply.