CAP/C Case Management Services in Charlotte
The Community Alternatives Program for Children (CAP/C) provides home-and community-based services to children at risk for institutionalization in a nursing home. The CAP/C program enables these children to stay at home with their families while receiving care. Quality Health Care Services provides case management services for this program in Cabarrus, Mecklenburg and Union counties.
CAP/C Case Management Staff
CAP/C case management will:
- Promote quality, safe and cost-effective care
- Promote utilization of available resources to achieve clinical and financial outcomes
- Ensure appropriate access to care
- Assist clients/families to appropriately self-direct care, self-advocate and make informed health care decisions to the degree possible
- Assist clients to achieve an enhanced level of health and to maintain wellness and function by facilitating timely, comprehensive and coordinated health services.
- Maintain ongoing documentation and reporting of goal achievement
Who Is Eligible?
CAP/C is available to any child from birth through 20 years of age who meets both the Medicaid eligibility criteria and the CAP/C criteria. The Medicaid criteria for CAP programs are not the same as the regular Medicaid criteria. Other criteria include that the child must live in a private residence, must be able to be cared for safely at home and meet minimum nursing facility level of care. The child's needs must be able to be met within a monthly budget determined by the amount of care the child requires. The family must be willing to participate in the care and in the care planning for their child.
According to the CAP/C Handbook For Parents (2013, p. 1-5), your child could qualify for CAP/C if he or she ...
- Is under 21 years of age.
- Is medically fragile. Medically fragile means that your child needs to have primarily physical medical care needs – not mental health, developmental, behavioral or social needs. Also, the care that the staff provides in your home must be a result of that medical physical care need.
- Is at risk for institutionalization. This means that your child has to require at least the level of nursing care provided in a nursing home. This level of care is referred to as nursing facility level of care.
- Examples of children who may be eligible for CAP/C include children with ventilators, tracheostomies, feeding tubes and severe seizures, and those children who need help with such activities as bathing, dressing, grooming and toileting when the child, for medical reasons, is not able to do or learn to do those tasks independently.
Some of the CAP/C Waiver Services
- In-home nurse or nurse aide care
- Home modifications and vehicle modifications
- Caregiver training and education
- Respite care