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