​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:

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.