What is CAP/C?
Home and Community-Based Waiver Service program that provides a cost-effective alternative to institutionalization for a Medicaid beneficiary who is medically fragile and at risk for institutionalization if home- and community-bases services approved in the CAP/C waiver were not available. These services allow the beneficiary to remain in or return to a home and community-based setting. This waiver supplements, rather than replaces, 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.
- Is determined to require a level of institutional care under the State Medicaid Plan.
- Need at least one or more CAPC home-and community-based services based on a reasonable indication of need assessment that must be coordinated by a CAP/C case manager.
What Home- and Community-based services are approved in the CAP/C waiver?
- Assistive technology;
- CAP/C in-home aide (IHA);
- Care advisor;
- Case management;
- Community transition service;
- Financial management services;
- Home accessibility and adaptation;
- Goods and services – Participant, Individual-directed, Pest eradication, Nutritional services and Non-medical transportation; Vehicle modification;
- Participant goods and services;
- Pediatric nurse aide services;
- Respite care (institutional and in-home);
- Specialized medical equipment and supplies;
- Training, education, and consultative services; and
- Consumer directed services