Community Alternatives Program for Disabled Adults
(CAP/DA)

CAP/DA is a special Medicaid Program. The program is designed to make care at home a possibility for people who may be facing nursing home placement. CAP/DA uses services within the community to help families provide a less costly, more effective alternative to nursing facility care.

Eligibility
CAP/DA is for people 18 years of age or older who are eligible for Medicaid and live in a private residence. In order for someone to be approved for CAP/DA, he or she must be at risk of being placed in a nursing facility or he or she is a current resident of a facility who wishes to return to a private residence. He or she must also be able to show that his or her health, safety, and will being can be maintained at home within the Medicaid cost limit.  He or she must have family and/or friends available to help assist with care.

Medicaid Eligibility
Medicaid eligibility and coverage differs in some respects for a CAP/DA client. Because CAP/DA is considered institutional care. Spousal income and resources do not count toward the applicant’s eligibility. People over the Medicaid income limit may still qualify for CAP/DA Medicaid. The department of Social Services will determine if a person will have a deductible based on income.

Services Offered
CAP/DA exists to supplement services and support already available to an individual. Some of the services CAP/DA provides include the following:
   - In Home Aide Services – assists with personal and simple home management tasks.
   - Waiver Supplies – Includes oral nutritional supplements (Ensure / Glucerna) and medication dispensing boxes, and poise pads.
   - Home Mobility Aids – Includes hand held showers and grab bars, wheelchair ramps, and widening of door frames.
   - Telephone Alert – Allows individuals to contact emergency services by pressing a button.
   - Case Management - Social WOrker coordinating and monitoring needed services on a monthly basis. 
   
Estate Recovery
Federal and State law authorize the Division of Medical Assistance to file a claim against the estate of people who receive long term care Medicaid. This means that when a recipient of CAP/DA dies, the state may seize property from their estate (such as their home) and sell it to recoup money spent on their care. An estate is subject to recovery when the resident is: 
   - Age 55 or older
     and 
   - Medicaid is paying for a portion of their care in a nursing facility, or they are receiving services under the Community Alternatives Program.

There are some circumstances when Medicaid will not collect the estate. For example, estate recovery will be waived if a surviving spouse continues to live on the property.

For Questions about Medicaid Eligibility or Estate Recovery contact:
               Davidson County Department of Social Services
                                     Lexington (336) 242-2500
                                   Thomasville (336) 474-2760

For general questions regarding the CAP/DA Program please call 336-242-2290 or complete the form below.  If you would like to make a referral click here to complete our online referral form.

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