What is CAP/DA

Community Alternatives Program for Disabled Adults (CAP/DA)

The Community Alternatives Program for Disabled Adults (CAP/DA) is a Medicaid Home and Community-Based Services. 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. These services allow this targeted individual 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.

What Home- and Community-based services are approved in the CAP/DA waiver?

  • Adult day health;
  • CAP In-home aide;
  • Equipment, modification and technology;
  • Meal preparation and delivery;
  • Respite services - Institutional respite and In-Home Aide respite;
  • Personal Emergency Response Services (PERS);
  • Specialized medical supplies;
  • Goods and services – Participant, Individual-directed, Pest eradication, Nutritional services, Non-medical transportation and Chore services-declutter and garbage disposal;
  • Community transition;
  • Community integration;
  • Training, education and consultative;
  • Coordinated caregiving;
  • Case management – case management and care advisement;
  • Personal assistance;
  • Financial management; and
  • Consumer directed services



Who is eligible for CAP/DA?

  • A disabled adults 18 years old and older.
  • An individual who is determined to require a level of institutional care under the State Medicaid Plan.
  •  An individual who needs at least one or more CAP/DA home-and community-based services based on a reasonable indication of need assessment that must be coordinated by a CAP/DA case manager.