Program
North Carolina home-care program (CAP/DA)
North Carolina Medicaid pays for care and home changes for disabled adults living at home. There's a waiting list.
What it can pay for
- a home care aide
- personal care
- homemaker help
- adult day care
- respite care
- a medical alert button
- ramps
- grab bars
- wider doors
- bathroom changes
- kitchen changes
- caregiver pay
- Official name
- Community Alternatives Program for Disabled Adults (CAP/DA)
- Where
- NC
- Status
- Waiting list
- Most it pays
- $28,000 per-project
- About the amount
- Equipment, Modification and Technology combined bucket: $28,000 per 5-year waiver approval cycle (Nov 1, 2024 - Oct 31, 2029) — was $13,000 before Nov 1, 2024. Covers ramps, bathroom/kitchen mods, lifts, vehicle mods, and tech in ONE shared bucket. Respite capped at 30 days/720 hours per fiscal year. Paid legally-responsible family member capped at 40 hours/week.
- Housing rules
- Home mods can be done in a primary private residence owned by the beneficiary OR their family; in a rental if mods are portable or the owner allows them.
- How long it takes
- Referral contact within 24 business hours; consent due back in 7 business days or referral is voided; Service Request Form done within 14 business days (Acentra)/45 days (CME); once a slot opens, home visit within 2 business days, assessment within 14/45 days. Acentra: 'up to 45 days' excluding the waitlist itself.
- How to apply
- Call NC LIFTSS (Acentra) or the CAP/DA case management entity for your county; return the Service Request Consent form within 7 business days; apply for long-term-care Medicaid at your county DSS in parallel.
- Does not pay for
- No additions that increase square footage; no mods to a home owned/leased by the CAP provider (unless it's the provider's own home for exclusive use); nothing 'not of direct medical or remedial benefit.'
- Official source
- medicaid.ncdhhs.gov
- Last checked
- September 1, 2025