top of page

Adult Services Division (18 Years Old and Up)

Community Alternatives Program/Disabled Adults (CAP/DA)


Going Home and ​Staying Home



Just Got Better

What is CAP/DA?

A Medicaid Home and Community-Based Services (HCBS) program authorized under section1915(c) of the Social Security Act and complies with 42 CFR § 440.180, Home and Community-Based Waiver Services. This waiver program 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/DA 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/DA?

  • A disabled adult 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.

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, 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

Children Services Division (Birth - 18 years)

Early Intervention

Special Instruction and Parent Coaching is provided to families of children ages birth to 3 years old with developmental delays that are enrolled in the NC Infant-Toddler Program. Support focuses on enhancing the child’s play skills, communication skills, behavior, and emotional self- regulation.


Triple P-Positive Parenting Program

Triple P is an evidence-based program provided and centered on the use of positive parenting interventions. Triple P supports parents in raising confident, healthy children and teenagers. Triple P give parents the practical skills they need to build strong family relationships, manage misbehaviors and prevent problems from happening in the first place.

Spectrum Support Services Inc.

Registered and Insured

bottom of page