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This manual outlines the eligibility criteria and guidelines for the Children's Alternative Program for Children (CAP/C), focusing on services provided to medically fragile children at risk of institutionalization.
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How to fill out capc manual - ncdhhs

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How to fill out CAP/C Manual

01
Gather all necessary documentation required for CAP/C.
02
Review the CAP/C Manual guidelines to understand specific requirements.
03
Begin filling in the manual sections one at a time, starting with the introductory information.
04
Ensure all personal and demographic information is accurate and up to date.
05
Follow the formatting instructions provided in the manual for clarity and consistency.
06
Complete each section by providing detailed answers as required, referring to any supplementary materials as needed.
07
After filling out all sections, review the entire document for completeness and correctness.
08
Submit the completed CAP/C Manual according to the specified submission guidelines.

Who needs CAP/C Manual?

01
Individuals applying for CAP/C programs.
02
Caregivers and service providers working with individuals in CAP/C.
03
Healthcare professionals involved in the assessment and planning process for CAP/C applicants.
04
Organizations that assist individuals in completing the CAP/C Manual.
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Community Alternatives Program for Disabled Adults CAP/DA services allow the beneficiary to remain in or return to a home- and community-based setting by supplementing, rather than replacing, the formal and informal services and supports already available to an approved Medicaid beneficiary.
Income Limits Individual applicants must have a monthly income that is no greater than $1,255 (effective April 2024 – March 2025). For married applicants with both spouses applying, that limit is $1,703 per month. These figures are equal to 100% of the Federal Poverty Level (FPL), which changes every year.
In "income cap" states, a nursing home resident won't be eligible for Medicaid if the resident's income exceeds $2,829 a month (in 2024), unless the excess income above this amount is paid into a special trust, called a "Miller" trust or a "Qualified Income Trust (QIT)."
ELIGIBILITY General Eligibility Requirements REQUIREMENTS To be eligible, a child must be a resident of North Carolina, a US citizen or other qualified alien (see Medicaid chapter 7), and have a medical condition that would otherwise require the child to be institutionalized.
Community Alternatives Program for Disabled Adults (CAPDA) This waiver program provides a cost-effective alternative to institutionalization for a beneficiary, in a specified target population, who is at risk for institutionalization if specialized waiver services were not available.
Income Limits Individual applicants must have a monthly income that is no greater than $1,255 (effective April 2024 – March 2025). For married applicants with both spouses applying, that limit is $1,703 per month. These figures are equal to 100% of the Federal Poverty Level (FPL), which changes every year.
Community Alternatives Program for Disabled Adults CAP/DA services allow the beneficiary to remain in or return to a home- and community-based setting by supplementing, rather than replacing, the formal and informal services and supports already available to an approved Medicaid beneficiary.
Who is eligible for CAP/C? Medically fragile and medically complex children who are age 0 through 20 years of age. Determined to require a level of institutional care under the North Carolina Medicaid State Plan.

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CAP/C Manual is a guideline that outlines the procedures and requirements for compliance with federal and state regulations related to the Comprehensive Assessment and Planning process for community-based services.
Organizations and agencies that provide community-based services, particularly those involved in the assessment and planning for individuals in need of care services, are required to file the CAP/C Manual.
To fill out the CAP/C Manual, one must gather relevant information regarding the individuals being served, complete detailed sections as specified in the manual, and ensure compliance with all reporting standards and guidelines.
The purpose of the CAP/C Manual is to ensure that service providers maintain a consistent approach to assessment and service planning that meets regulatory requirements, thereby improving service delivery and outcomes for individuals.
The CAP/C Manual must report information including individual assessments, service plans, demographic data of clients, documentation of services provided, and other relevant compliance information as dictated by the overseeing regulatory bodies.
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