The 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. CAP/DA services allow the beneficiary to remain in or return to a home- and community-based setting by supplementing, rather than replacing, the formal and informal services and supports already available to an approved Medicaid beneficiary.

 

Who is eligible for CAP/DA?

 

-  A disabled adults 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 service based on a reasonable indication of need assessment that must be coordinated by a CAP/DA case manager.