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This manual provides guidance for local case management agencies and their CAP/C Case Managers regarding the Community Alternatives Program for Children (CAP/C) within the North Carolina Medicaid
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How to fill out North Carolina Medicaid Community Alternatives Program for Children (CAP/C) Program Training Manual for Case Management Providers
01
Gather necessary documentation, including eligibility information for the families you are serving.
02
Review the North Carolina Medicaid Community Alternatives Program for Children (CAP/C) guidelines thoroughly.
03
Fill out the required forms with precise information about the child and family situation, adhering to the instructions in the manual.
04
Ensure that all signatures from the designated authorities are obtained where necessary.
05
Submit the completed forms and documentation to the appropriate Medicaid office for processing.
06
Follow up with the Medicaid office to confirm receipt and determine if any additional information is needed.
Who needs North Carolina Medicaid Community Alternatives Program for Children (CAP/C) Program Training Manual for Case Management Providers?
01
Case management providers working with children eligible for the North Carolina Medicaid CAP/C program.
02
Social workers and healthcare professionals involved in coordinating care for children with special needs.
03
Families seeking to understand the resources available through the CAP/C program for their children.
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What is the income limit for the CAP program in NC?
CAP offers home and community based services to eligible Medicaid recipients who face institutional placement, but wish to remain in the home. CAP provides care for elderly, disabled adults and medically high-risk children whose health, safety, and well-being can be assured in the home setting.
What is the community alternatives program for Medicaid in NC?
The Community Alternatives Programs (CAP) allow North Carolina to use Medicaid funds to provide home-and community-based services to Medicaid beneficiaries who require placement in a nursing facility, but for whom care can be provided cost-effectively and safely in the community with CAP services.
What is the cap choice program in NC?
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.
How does the cap program work in NC?
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.
How much does CAP pay in NC?
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.
What is the cap C program in NC?
What is CAP/C? CAP/C is an NC 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.
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What is North Carolina Medicaid Community Alternatives Program for Children (CAP/C) Program Training Manual for Case Management Providers?
The North Carolina Medicaid Community Alternatives Program for Children (CAP/C) Program Training Manual for Case Management Providers is a resource that provides guidelines and standards for case managers overseeing services for children with special needs under the Medicaid system.
Who is required to file North Carolina Medicaid Community Alternatives Program for Children (CAP/C) Program Training Manual for Case Management Providers?
Case management providers who administer services under the CAP/C program are required to file the training manual to ensure compliance with Medicaid guidelines and provide adequate care to children enrolled in the program.
How to fill out North Carolina Medicaid Community Alternatives Program for Children (CAP/C) Program Training Manual for Case Management Providers?
Filling out the manual involves completing the required sections that detail case management processes, documenting service delivery, and adhering to specified formats for reporting information on each child served.
What is the purpose of North Carolina Medicaid Community Alternatives Program for Children (CAP/C) Program Training Manual for Case Management Providers?
The purpose of the manual is to ensure that case management providers deliver consistent, high-quality services to children with special needs, in accordance with Medicaid regulations and program objectives.
What information must be reported on North Carolina Medicaid Community Alternatives Program for Children (CAP/C) Program Training Manual for Case Management Providers?
Providers must report information related to the child’s assessment, service planning, service delivery, outcomes, and any relevant changes in condition or needs, ensuring all data is accurate and complete.
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