Graham County Department of Public Health

Community Alternatives Program for Disabled Adults (CAP/DA)
CAP/DA is a North Carolina Medicaid-funded Long Term Care program that offers case management, in home aid services and waiver supplies to participants who wish to remain at home in lieu of nursing home placement, and to help them remain in their homes safely. A waiver supply is an item that under regular Medicaid would not be covered by Medicaid, but under CAP/Medicaid, is. These items include, but are not limited to, In Home Aid services, Telephone Alert System, Incontinence Supplies, Grab Bars, Hand Held Showers, Pill Organizers, Catheters, Ostomy Supplies, TED Hose, and supplement drinks such as Ensure or Glucerna. CAP/DA also allows for some home modifications, such as wheelchair ramps, and home mobility aids, such as lift chairs, to be covered under the Medicaid waiver.
The program targets people who are receiving or are eligible to receive North Carolina Medicaid and who are at risk for placement in a Long Term Care Facility, such as a nursing home. The target population must also have family members or community support to help meet their needs when CAP/DA services are unavailable.
Community Alternatives Program—Choice Option (CAP-CO)
CAP Choice is a participant driven alternative to Traditional CAP/DA services. With the Choice option, the participant becomes his/her own employer. They are responsible for creating a job description for their aid, recruiting/hiring their own aid, and developing a plan of care the aid will follow to meet their needs. The participant is, in essence, in charge of his/her own care, and the case manager takes on an advisory role.
Money Follows the Person (MFP)
MFP is a program that allows a person who has been in a long term care placement for at least three months, and who wishes to return to a private living arrangement. The program provides a Transition Coordinator who will help the person decide what is needed in order for them to return home safely, and Case Management to complete assessments and monitor/help with the transition. MFP also grants a person $3,000.00 for the transition process. These funds can be used to make home modifications, purchase adaptive equipment, pay rent, utilities deposits, help purchase furniture, or what will help the person get back home and be safe in the home. The person will then receive either CAP/DA or CAP-CO after the transition.
How to Apply
Anyone interested in applying for or additional information on CAP/DA, CAP-Choice Option or MFP may call the Graham County Department of Public Health and speak with a CAP Case Manager during normal office hours.
CAP Case Managers:
Christine Crisp
21 South Main Street
Robbinsville, NC 28771
Phone: 828-479-7900 ext. 2507
Fax: 828-479-6956
Email: christine.crisp@graham.nc.gov
Leann Ramsey
Phone: 828-479-7900 ext. 2512
Email: leann.ramsey@graham.nc.gov
Cyndi Postell
Phone: 828-479-7900 ext. 2624
Email: cyndi.postell@graham.nc.gov


