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Get the free Community Alternatives Program Services Addendum - ncdhhs

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This document outlines the procedures and requirements for providers interested in enrolling to provide additional services under the Community Alternatives Program (CAP) within the North Carolina
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How to fill out community alternatives program services

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How to fill out Community Alternatives Program Services Addendum

01
Begin by gathering all necessary personal information, including participant's full name, address, and contact details.
02
Identify the service type required under the Community Alternatives Program.
03
Complete the demographic information section accurately.
04
Describe the participant's needs and goals, providing specific details regarding the circumstances.
05
Outline the desired outcomes and how the services will help achieve them.
06
Include any relevant medical history or documentation that supports the service request.
07
Review the filled form for accuracy and completeness.
08
Submit the completed form to the appropriate agency or department overseeing the Community Alternatives Program.

Who needs Community Alternatives Program Services Addendum?

01
Individuals or families who require support services for children or adults with disabilities.
02
Participants who are transitioning from institutional care to community-based services.
03
Caregivers looking for alternative support options for their loved ones.
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Married couples, with both spouses as applicants, are limited to $1,763 / month in income. When only one spouse is an applicant, the applicant spouse can have income up to $1,305 / month. The income of the non-applicant spouse is not counted towards the income eligibility of their spouse.
Effective 4/1/25, a single applicant is limited to a monthly income of $1,305. Married couples, with both spouses as applicants, are limited to $1,763 / month in income. When only one spouse is an applicant, the applicant spouse can have income up to $1,305 / month.
Cap Salary in North Carolina Annual SalaryHourly Wage Top Earners $96,656 $46 75th Percentile $69,592 $33 Average $51,922 $25 25th Percentile $25,130 $12
Cap Salary in North Carolina Annual SalaryHourly Wage Top Earners $96,656 $46 75th Percentile $69,592 $33 Average $51,922 $25 25th Percentile $25,130 $12
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.
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.
What is 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.
General Requirements CAP/DA is available to North Carolina residents who are: 65 years of age or older and at risk of nursing-home placement OR. At least 18 and have a physical or mental disability that results in the need of care typically found in a nursing home.

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The Community Alternatives Program Services Addendum is a form or document used in the context of community-based services for individuals, often related to healthcare or social services, that outlines specific provisions, services, and support offered within community alternatives programs.
Typically, providers of services under the Community Alternatives Program are required to file the Community Alternatives Program Services Addendum, which may include social service agencies, healthcare providers, or individuals managing community-based care.
To fill out the Community Alternatives Program Services Addendum, individuals or providers should gather necessary information regarding the recipient's needs, services being provided, and any relevant personal or medical history, and follow the specific guidelines provided by the overseeing body for completing the form.
The purpose of the Community Alternatives Program Services Addendum is to document and clarify the specific services provided within community alternatives programs, ensuring compliance with regulations and facilitating appropriate care for individuals.
The information that must be reported on the Community Alternatives Program Services Addendum typically includes details about the recipient of services, the types of services being rendered, dates of service, provider information, and any other relevant personal or service-specific data.
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