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This document outlines the procedures and considerations for families regarding voluntary reductions or withdrawals from services in the CAP/C program, including definitions, eligibility, reasons
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How to fill out CAP/C Manual

01
Begin by gathering all necessary personal and professional information needed for the CAP/C Manual.
02
Review the instructions and guidelines provided in the CAP/C Manual carefully.
03
Fill out each section of the Manual systematically, ensuring that all required fields are completed.
04
Double-check the information for accuracy before proceeding to the next section.
05
If applicable, attach any necessary supporting documents as indicated in the Manual.
06
Review the completed Manual to ensure everything is filled out correctly.
07
Submit the Manual as per the submission guidelines outlined in the instructions.

Who needs CAP/C Manual?

01
Individuals seeking to access services or benefits outlined in the CAP/C program.
02
Healthcare professionals assisting clients in navigating the CAP/C process.
03
Case managers and social workers who support clients with completing the CAP/C Manual.
04
Organizations and agencies involved in the administration or oversight of CAP/C services.
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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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The CAP/C Manual, or Corrective Action Plan/Compliance Manual, is a document that outlines the procedures for identifying, analyzing, and addressing compliance issues within an organization.
Organizations, particularly in regulated industries, that need to demonstrate compliance with specific standards or regulations are required to file a CAP/C Manual.
To fill out the CAP/C Manual, organizations should identify compliance issues, document corrective actions, assign responsibilities, and set timelines for resolution, ensuring all relevant information is included.
The purpose of the CAP/C Manual is to ensure that organizations remain compliant with regulations by providing a structured approach to identifying and addressing compliance issues.
The CAP/C Manual must report on compliance issues identified, corrective actions taken, responsible parties for those actions, deadlines for completion, and a plan for monitoring and evaluating the effectiveness of those actions.
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