CAP Case Management

Community Alternatives Program for Disabled Adults

HealthKeeperz delivers case management services aimed at helping our patients avoid hospitalizations while maintaining their independence at home. By integrating home health, hospice, and home medical equipment and supplies, HealthKeeperz has the unique ability to add value to the healthcare continuum for the people of North Carolina. Our primary goal is to assist our patients as they make choices that improve their overall health status. 


At HealthKeeperz, we serve many counties across North Carolina as an authorized care provider for the state’s Community Alternatives Program (CAP). This program is a wonderful alternative for many North Carolinians seeking to avoid placement in a nursing home, and it’s just one of the ways we enjoy providing care with compassion that promotes dignity and a more active lifestyle. To be eligible for CAP, a patient must meet the criteria for skilled nursing facility level of care. HealthKeeperz CAP case managers develop plans of care for each client, and these plans are aimed at ensuring that the client is safe at home and receives the services he or she needs. Ultimately, CAP exists to supplement, rather than replace, formal and informal services and family support available to the client. 

Services Provided by CAP/DA


Case Management by a social worker or registered nurse

Home Aide

In-Home Aide Services

Telephone Alert

Telephonic emergency response system

Institutional respite

Institutional and in-home respite

Adult Care

Adult Day Health Care

Waiver supplies

Nutritional supplements, certain incontinent supplies, medication dispensing boxes

Home mobility aides

wheelchair ramps, safety rails, grab bars, non-skid surfaces, hand-held showers, widening of doorways for wheelchair access

Your Personal Care Plan

Our case management team will visit you at home to complete a thorough assessment of your needs. You, your doctor and your family will work with the case management team to design
a care plan that is right for you. A social worker will work with you to arrange services and monitor your care. A nursing assistant, supervised by a registered nurse, may be available during the day.

What is CAP/DA?

  • CAP/DA is a special Medicaid program that can provide a range of services not covered in the regular Medicaid program of North Carolina.
  • CAP/DA can provide in-home and community based care for adult Medicaid recipients. The goal is to offer a quality cost effective alternative to intermediate and skilled care in nursing homes.
  • CAP/DA services meet the personal care needs of the patient while providing relief to the caregiver/family.
  • CAP/DA provides quality care to the disabled with emphasis on maintaining their dignity and desire to receive care in the home.

The CAP Process

The Process begins with the determination of Medicaid eligibility by the Robeson County Department of Social Services.
A nurse/social worker team assesses the care needs of the client that may be met in a home setting at a cost that is less than what Medicaid would pay for facility care.
Services are arranged with community agencies that provide the kind of care needed by the client.
The case manager is responsible for reassessing annually the continuing need for CAP/DA services and regularly monitors the care being provided by community agencies.

Who is Eligible for CAP/DA?

Those persons who:

  • Are 18 years of age and older who live in: Robeson County.
  • Live in a private residence and are at risk of being placed in a nursing
    facility and desire to return to a private residence.
  • Are eligible for Medicaid CAP and can have his/her health, safety, and well being maintained at home within the Medicaid cost limit.
  • Are deemed appropriate for
    intermediate or skilled nursing home care by their physician.
  • Have a supportive caregiver and/or positive support from other significant people.
  • Desires CAP/DA services instead of institutional care.

Payment Information

The Community Alternative Program for Disabled Adults is a Medicaid reimbursed service.