Community Alternatives Program

for Disabled Adults

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Community Alternatives Program for Disabled Adults

The Community Alternatives Program for Disabled Adults (CAP/DA) is a Medicaid program that allows low-income, disabled community residents an alternative to nursing home placement. Participants of the CAP/DA program are able to remain in their own home where they are most comfortable, while also receiving the care and supports they need to live the fullest life possible.

For those who wish to direct and have increased control over the services and supports arranged to meet their needs, CAP also offers a Consumer Directed (CAP/CD) program.

CAP/DA and CAP/CD services are available to individuals at least 18 years of age and older who are Medicaid eligible and whom their physician certifies as needing either Intermediate Care or Skilled Nursing level of care.

There are many benefits available to CAP/DA and CAP/CD participants based on individual needs. Our goal is to connect each participant with the resources they need so they can remain in their own home for as long as possible. We do this by providing participants with a variety of resources, which can include services such as Case Management, Adult Day Care, In-Home Aide services, medical supplies and equipment, home delivered meals, personal care, personal emergency response service, nutritional supplies, and skilled nursing services. Financial management is available for CAP/CD participants only.

Frequently Asked Questions

If you have a low income, you may be eligible for Medicaid. Your local Medicaid office, located at the Department of Social Services, can help you determine your eligibility by calculating your total income and resources. For basic information on income and resource requirements please contact your local Department of Social Services. Ashe County Department of Social Services may be reached by calling 336-846-5719.
No. CAP is intended to be a supplement to formal and informal supports (including family) that are already in place for participants. Caregiver support must be sufficient to maintain the participant’s health, safety and well-being in the home. In-Home Aide hours and frequency are determined by the participant’s assessment. CAP does not provide any type of on-call services.
An In-Home Aide may perform tasks identified on a participant’s assessment, which is completed upon admission and annually. Tasks typically include personal care, light housekeeping and meal preparation. Aides may not perform tasks for anyone other than the CAP participant.
Anyone can make a CAP referral. Physicians, social workers, home health, family members or potential participants themselves commonly make referrals. To make a referral, please call 336-246-2461.

To inquire more about our CAP Program, please click here.

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