Benefits · Long Term Care
How to apply for Community Alternatives Program for Disabled Adults (CAP/DA) — Home & Community-Based Waiver
North Carolina Department of Health and Human Services, Division of Health Benefits (NC Medicaid)
Who it's for
CAP/DA is North Carolina's Medicaid home and community-based services (HCBS) waiver. It provides supports such as personal care, case management, and home modifications so adults who would otherwise need nursing-home care can stay in their own home. You must be 18 or older, need a nursing-facility level of care, and qualify for long-term-care Medicaid. Contact a local CAP/DA case-management agency in your county to request a referral.
CAP/DA requires a nursing-facility level of care and that you first qualify for long-term-care Medicaid (the MAA/MAB/MAD or HCWD categories). The waiver has a limited number of enrollment slots, so a waitlist may apply. The long-term-care income standard is about 100% of the federal poverty level (roughly $1,330/month for one person, effective April 1, 2026) with a $2,000 resource limit; the county DSS makes the determination. CAP/C is the separate children's version (ages 0-20). Not legal or financial advice.
What you'll need
- Proof of age (18+) or disability
- NC Medicaid (long-term-care) approval
- A nursing-facility level-of-care assessment (arranged through the CAP/DA case-management agency)
- Proof of income and resources
Where to apply
Apply online: official application
By phone: 1-888-245-0179
Renewals
annual
Not sure if you qualify? Run a free check first.
Find my benefitsNot legal or financial advice. The agency makes the final eligibility decision.