Community Alternatives Program
for Children (CAP/C)
AT PEACEFULHOME HEALTH CARE
Community Alternatives Program for Children
The Community Alternatives Program for Children (CAP/C) is a specialized Medicaid waiver program created to support children with complex medical, developmental, or physical needs who require a high level of care—often equivalent to what would be provided in a long-term care facility. Instead of placing a child in an institution, CAP/C allows them to receive the same level of essential support in the safety, comfort, and emotional security of their own home.
Every child deserves to grow, learn, and thrive in a loving family environment. CAP/C makes this possible by providing families with a wide range of supports designed to meet each child’s unique health and daily-living needs. This may include skilled nursing care, personal care assistance, in-home aides, respite services, case management, medical equipment support, and home modifications that create a safer, more comfortable living space.
Who is eligible for the CAP-C program?
Medically fragile and medically complex children who are age 0 through 20 years of age
Is determined to require a level of institutional care under the North Carolina Medicaid State Plan
Need at least one or more CAP/C home-and community-based services based on a reasonable indication of need assessment that must be coordinated by a CAP/C case manager
Our Services include
Assistive technology
Attendant nurse care
CAP/C in-home aide (IHA) services
Care coordination
Community integration services
Community transition services
Home accessibility and adaptation
Non-medical transportation
Pediatric nurse aide services
Pest eradication
Respite care (institutional and in-home)
Respite care (institutional and in-home)
Financial management services
Why we offer CAP-C
For medically fragile children, continuity of environment is extremely important. Being cared for at home helps reduce anxiety, avoid frequent hospitalizations, and foster stronger emotional bonds with parents and siblings. Parents can remain closely involved in their child’s care, while also receiving professional guidance and hands-on support from experienced caregivers who understand pediatric needs.
Families benefit significantly from CAP/C. The program eases the physical, emotional, and financial burden of caring for a child with intensive needs by providing Medicaid-covered services and ongoing coordination from healthcare professionals. Instead of navigating the journey alone, families gain a dedicated team that helps ensure the child’s health, safety, and developmental progress.
