Watauga County Project on Aging:
Community Alternatives Program

The Community Alternatives Program for Disabled Adults (CAP/DA) is a special Medicaid program under the Community Care Section of the Division of Medical Assistance. The program makes care at home a real possibility for many people who face nursing home placement.

CAP/DA exists to supplement rather than replace the formal and informal services and support already available to an individual. The program’s goal is to enable individuals to remain in their homes or to return to their homes from nursing facilities and live as independently as possible

CAP/DA is for a person 18 years of age and older who:

• Is eligible for Medicaid
• Lives in a private residence and is at risk of being placed in a nursing facility, or lives in a nursing facility and desires to return to a private residence;
• Requires nursing facility care (IC or SN) as determined through the Medicaid prior approval process;
• Needs CAP/DA services to remain safely at home;
• Can have his or her health, safety, and well-being maintained at home within the Medicaid cost limit; and
• Desires CAP/DA services instead of institutional care.

How To Apply

1. Call or come by Watauga County Project on Aging, Monday – Friday, 8:00 a.m. – 5:00 p.m.
2. A CAP Case Manger will counsel them.
3. If CAP is to be pursued an FL-2 must be completed by the physician.
4. If not covered by Medicaid they will apply for CAP Medicaid at the Department of Social Services.
5. Either the Client or a designated representative may initiate an application.

CAP Finances

1. Client must be on or apply to be on full Medicaid.
2. A Hospice patient can be on CAP only if also covered by Medicare or if Hospice waives the fee.
3. The client may have a deductible. The Department of Social Services Medicaid Worker determines this.
4. Qualifying medical expenses may be used toward the deductible, as determined by the Department of Social Services Medicaid Worker.

CAP Benefits

1. Purchase and rental of Durable Medical Equipment and supplies.
2. In-home Aide Services.
3. Case Management.
4. Home Delivered Meals.
5. Home Mobility Aids.
6. Telephone Alert.

The Project on Aging coordinates with home health agencies which provide the following:

1. Nursing Services.
2. Speech, Occupational and Physical Therapy
3. Medical Supplies
4. Durable Medical Equipment
5. Nurse Aide Services

Referrals to:

Watauga County Project on Aging
Case Manager
132 Poplar Grove
Connector, Suite A
Boone, NC 28607
828-265-8090