CAP Case Management for Children in North Carolina

What is CAP Case Management?

CAP (Community Alternatives Program) Case Management for Disabled Children is a service designed to help children with disabilities receive the necessary care and support to thrive in their home and community environments. Case managers work with families to assess needs, develop personalized care plans, and coordinate essential services such as medical care, therapy, education, and social integration.

Who is Eligible for CAP Case Management?

To qualify for CAP Case Management in North Carolina, children must:

  • Be a North Carolina resident

  • Be under 18 years old with a qualifying disability

  • Require assistance with daily living activities due to their disability

  • Meet Medicaid eligibility requirements

  • Demonstrate a need for services to remain in a home or community-based setting rather than an institutional setting

How to Apply for CAP Case Management

  1. Determine Eligibility: Ensure Medicaid eligibility and confirm the child meets the disability criteria.

  2. Contact a Case Management Provider: Reach out to an approved CAP Case Management provider in your area.

  3. Assessment & Care Planning: A case manager will assess the child's needs and develop a tailored care plan.

  4. Approval & Service Implementation: Once approved, services will be arranged to support the child's well-being and development.

What Services are Included?

CAP Case Management provides a comprehensive range of services, including:

  • Personal Care Assistance – Help with daily living activities such as bathing, dressing, and eating.

  • Medical Coordination – Assistance in managing healthcare needs, including doctor’s appointments and medication management.

  • Therapy Services – Access to physical, occupational, and speech therapy.

  • Educational Support – Coordination with schools to ensure special education needs are met.

  • Respite Care – Temporary relief for caregivers by providing short-term care for the child.

  • Community Integration – Connecting children to social, recreational, and developmental opportunities.

  • Behavioral Health Support – Access to counseling and behavioral therapy as needed.

What is the Cost of CAP Case Management?

CAP Case Management services are typically covered by Medicaid for eligible children. If a child does not qualify for Medicaid but still requires similar services, alternative funding options or private-pay opportunities may be available. Contact your case management provider for more details on financial assistance.

Frequently Asked Questions

1. How long does the application process take?
The timeline varies based on Medicaid approval and individual needs, but it typically takes several weeks to a few months.

2. Can parents be involved in the case management process?
Absolutely! Parents and guardians are essential partners in care planning and service coordination.

3. What if my child does not qualify for Medicaid?
If Medicaid is not an option, there may be other state-funded programs or private-pay services available.

4. Can I change my child’s case manager if needed?
Yes, you have the right to request a different case manager if your needs are not being met.

5. What happens if my child's needs change over time?
Your case manager will conduct periodic reassessments to ensure the care plan continues to meet your child’s evolving needs.

6. Are there waiting lists for CAP services?
There may be waiting lists in certain areas due to high demand. Your case management provider can provide information on availability and alternative resources.

7. How do I find a CAP Case Management provider near me?
You can check North Carolina’s Medicaid directory, contact local health agencies, or reach out to our wellness agency for guidance on locating a provider.

Need Help Getting Started?

Our team at HealthKeeperz is here to assist you in navigating the CAP Case Management process. Contact us today to learn more about how we can support your child’s care needs.

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