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CAP/C Parent Handbook (431 KB PDF)

Community Alternatives Program for Children (CAP/C)

What is CAP/C?

The Community Alternatives Program for Children (CAP/C)  (also known as the Katie Beckett waiver) provides home and community based services to medically fragile children who, because of their medical needs are at risk for institutionalization in a nursing home. Examples of children who may be eligible for CAP/C include children with ventilators, tracheostomies, feeding tubes, severe seizures, and those children who need help with activities such as bathing, dressing, grooming, and toileting when the child, for medical reasons, is not able to do or learn to do those tasks independently.

What does CAP/C cover?

In addition to case management and in-home nursing or aide care, families may also receive some additional services and supplies that Medicaid would not ordinarily pay for.  These include:

• respite care (in-home or institutional nursing care provided in order to give the child’s caregiver some leisure time)
• home modifications (limited to stationary wheelchair ramps, widening of doorways for wheelchair access, safety-rails, non-skid surfaces, handheld showers, and grab bars), and
• waiver supplies (nutritional supplements that are taken be mouth and ordered by a physician, and reusable diapers and the disposable liners for them). 

Children on CAP/C also have access to regular Medicaid services, for example; physical therapy, occupational therapy, speech therapy, and medical equipment.

Who is eligible?

CAP/C is available to any child under 19 years of age who meets both the Medicaid eligibility criteria and the CAP/C criteria.  The Medicaid criteria for CAP programs are not the same as the regular Medicaid criteria.  Other criteria include that the child must live in a private residence, must be able to be cared for safely at home and meet minimum nursing facility level of care. The child’s needs must be able to be met within a monthly budget determined by the amount of care the child requires. The family must be willing to participate in the care and in the care planning for their child.

Contacts

For more information about CAP/C services, call your local case management agency.