The Community Alternatives Program for Children (CAP/C) is a 1915 (c) home and community based waiver authorized by the Centers for Medicare and Medicaid Services.  It is for children less than 21 who have nursing facility or hospital level of care needs.  It allows children needing long-term medical care to return to or remain in the community and live as independently as possible in their homes.  The program provides in-home nurse or nurse aide care, respite care, case management, home and vehicle modifications, waiver supplies and other services.

Local case management providers provide case management, assessments, care plans, education and training for family members and maintain waiting lists for families who desire a CAP/C slot for their child.  The Division of Medical Assistance serves as the lead agency and provides overall management of the program.