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Adult Services Division (18 Years Old and Up)

Community Alternatives Program/Disabled Adults (CAP/DA)


Going Home and ​Staying Home



Just Got Better

What is CAP/DA?

A Medicaid Home and Community-Based Services (HCBS) program authorized under section1915(c) of the Social Security Act and complies with 42 CFR § 440.180, Home and Community-Based Waiver Services. This waiver program provides a cost-effective alternative to institutionalization for a Medicaid beneficiary who is medically fragile and at risk for institutionalization if home- and community-bases services approved in the CAP/DA waiver were not available. These services allow the beneficiary to remain in or return to a home and community-based setting. This waiver supplements, rather than replaces, the formal and informal services and supports already available to an approved Medicaid beneficiary.

Who is eligible for CAP/DA?

  • A disabled adult 18 years old and older.

  • An individual who is determined to require a level of institutional care under the State Medicaid Plan.
  • An individual who needs at least one or more CAP/DA home-and community-based services based on a reasonable indication of need assessment that must be coordinated by a CAP/DA case manager.

What Home- and Community-based services are approved in the CAP/DA waiver?

  • Adult day health;

  • CAP in-home aide;

  • Equipment, modification, and technology;

  • Meal preparation and delivery;

  • Respite services - Institutional respite and in-home aide respite;

  • Personal Emergency Response Services (PERS);

  • Specialized medical supplies;

  • Goods and services – participant, individual-directed, pest eradication, nutritional services, non-medical transportation, chore services-declutter, and garbage disposal;

  • Community transition;

  • Community integration;

  • Training, education, and consultative;

  • Coordinated caregiving;

  • Case management – case management and care advisement;

  • Personal assistance;

  • Financial management; and

  • Consumer-directed services

Children Services Division (Birth - 18 years)

Early Intervention

Special Instruction and Parent Coaching is provided to families of children ages birth to 3 years old with developmental delays that are enrolled in the NC Infant-Toddler Program. Support focuses on enhancing the child’s play skills, communication skills, behavior, and emotional self- regulation.


Triple P-Positive Parenting Program

Triple P is an evidence-based program provided and centered on the use of positive parenting interventions. Triple P supports parents in raising confident, healthy children and teenagers. Triple P give parents the practical skills they need to build strong family relationships, manage misbehaviors and prevent problems from happening in the first place.

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