CAP/DA
CAP/DA stands for Community Alternatives Program for Disabled Adults. CAP/DA is an alternative to nursing home care for adults who
- are 18 and over
- live in Wake County
- require intermediate care (ICF), or skilled care (SNF)
- are at risk of nursing home placement if they don't get community-based care
- meet strict financial eligibility criteria
CAP/DA is an extension of Medicaid, and as such is intended for individuals who have very limited financial resources. Eligibility for CAP/DA differs from regular Medicaid in several important ways, however. Most significantly, CAP/DA eligibility is determined by the income and assets of the client only (not the spouse or other family members).
For those who qualify, CAP/DA provides extensive home and community-based services, which may include some services not covered by regular Medicaid, such as
- adult day programs
- more extensive home care (but not 24-hour care)
- supplies such as incontinence products and nutritional supplements
To apply for or make a referral to CAP/DA, the client, family member, or professional (often a social worker or physical therapist) should call Resources for Seniors (919-872-7933) and ask for the Intake Department, or complete our online Speed Referral form. Information required to complete the application includes the client's Medicaid number (if already on Medicaid), monthly income, primary physician's name and phone number, and client's diagnosis.
Once this information has been provided, the client is placed on the CAP/DA waiting list. The wait may be 3 months or more, before financial eligibility is determined. The waiting list is first-come, first-served unless the client has already been residing in a nursing home since at least June 2004 and wants to return to a community setting; such clients are given higher priority. If the client qualifies financially, care needs are evaluated through a home visit, and, if appropriate for CAP/DA services, the client enters the program.