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NC Medicaid Community Alternatives Program For Disabled Adults (CAP / DA)Medicaid and Health Choice Clinical Coverage Policy No: 3K2 Amended Date: March 1, 2020To all beneficiaries enrolled in a Prepaid
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How to fill out community alternatives program for

01
To fill out the Community Alternatives Program for, follow these steps:
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Obtain the application form from the local community alternatives program office or their website.
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Carefully read the instructions and requirements stated on the application form.
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Complete the personal information section, providing accurate details about yourself or the individual in need of the program.
05
Provide information about the medical condition or disability that requires the community alternatives program's assistance.
06
Attach any necessary documents or supporting evidence, such as medical records or assessments, to verify the need for assistance.
07
Fill out the financial information section, including details about income, assets, and expenses.
08
Answer all additional questions and sections related to the program's specific eligibility criteria.
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Review the completed application form for accuracy and make any necessary corrections.
10
Sign and date the application form.
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Submit the application form to the community alternatives program office either in person or by mail, as per their instructions.

Who needs community alternatives program for?

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The Community Alternatives Program is specifically designed to assist individuals who meet the following criteria:
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Individuals with physical disabilities or limitations that restrict their ability to perform daily activities independently.
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Older adults who require in-home services and support to maintain their health, safety, and well-being.
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Individuals with cognitive impairments or developmental disabilities who need assistance with daily living tasks.
05
Individuals who wish to receive long-term care services and support in their own homes or community instead of in institutional settings.
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Individuals who meet the program's eligibility requirements in terms of income, assets, and other criteria set by the program.
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The community alternatives program is designed to provide support and resources to individuals and families, allowing them to access services that promote independence and community integration.
Individuals and organizations that wish to participate in the community alternatives program and receive related funding or support must file the required documentation.
To fill out the community alternatives program application, gather the necessary documentation, provide accurate information about your needs and services required, and submit the completed form to the appropriate authority.
The purpose of the community alternatives program is to facilitate access to community-based services that improve the quality of life for participants while reducing reliance on institutional care.
Information required on the community alternatives program typically includes personal identification, service needs, financial details, and any existing support or services currently received.
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