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Details for Service CAP-Disabled
Service Name CAP-Disabled Program Name Adults At-Risk for Out of Home Placement
Goal Provide services and supports to individuals and families experiencing health and safety needs to assist them in living successfully in the community.
Objective Assure that adults with health and safety needs that could result in out-of-home placement receive support services to enable them to continue to live at home and/or community.
Division Division of Health Benefits
Service Description

The Community Alternatives Program for Disabled Adults (CAP DA) is a 1915 (c) home and community based waiver authorized by the Centers for Medicare and Medicaid Services.  It is for adults 18 and over who have a nursing facility level of care need. 

 

The types of services available to a person in CAP DA include; in-home aides, medical supplies, home mobility aids, nursing visits, incontinent supplies, personal emergency response systems, etc.  The goal of the program is to allow people to stay in their homes as opposed to receiving care in a long term care facility.

 

Local lead agencies provide the assessment, case management and ongoing oversight of the CAP Choice client’s care. They also manage a waiting list for the slots available for the program.

CAP-Disabled services are waiver programs and as such are optional services.
Web Site http://www.ncdhhs.gov/dma/ Year First Initiated 1982
Available State Wide Yes Geographic Area Served
Grants Provided No Competitive Bidding No
Competitive Bidding Details
Waiting List No Waiting List Start Date
Number Waiting
Waiting List Details

Income Eligibility
Income Eligibility Yes
Income Eligibility Method Eligibility for Medicaid is determined by the county departments of social services (DSS) and the Social Security Administration (SSA) for Supplemental Security Income (SSI) recipients. 100% FPL - MAD, MAB, MAA MAD, MAB, MAA medically needy - $242
Income Eligibility Type Earned income such as: wages, self-employment Unearned income such as: RSDI, unemployment, VA, retirement, child/spousal support, worker's compensation, etc.
Whose Income Eligibility Recipient's income only
Income Disregard Yes
Income Disregard Desc Earned Income Disregards: MAD, MAB: $65 + 1/2 remainder Unearned income disregards: MAD/MAB - $20 general exclusion 1/3 child support received
Income Verified Yes
Income Verified Method Electronic match with ESC, SSA, wage stubs, verification from source of income, such as VA, employer, award letter, self-employment records
Income Criteria Federal and State Statutes are used as a base for setting income levels.
Income Eligibility Change 1/1/1975
Income Eligibility Method Prior To Change Method has remained unchanged since inception.
Income Eligibility Other

Target Population
Age Range Start Age Range End
21 100+

Legal Authority
Authorization Level Authorization Type Citation
Federal Code of Federal Regulations 42 CFR 440.180 and 42 CFR 441, Subpart G and H
Federal Public Law Social Security Act 1915 (c) and 42 CFR 441G

Budget Information
State Fiscal Year (SFY)
As of the month of
Authorized Budget Fiscal Year 2024 SFY 2023-2024 Year To Date Expenditures Balance
Salary and Fringes (1X) 0 0 0
Salary Other (1X) 0 0 0
Operating (2X-5X) 0 0 0
Contracts/Allocations (6X) 0 0 0
Reserves (7X) 0 0 0
Transfers (8X) 0 0 0
Total Requirements 0 0 0
Receipts-Federal 0 0 0
Receipts- Local receipts 0 0 0
Receipts- Other receipts 0 0 0
Total Receipts 0 0 0
General Fund Appropriations 0 0 0
Match
State Local Other
0 0 0
 
MOE
State Local
0 0
 
FTEs
0.00
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