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CAP/MR-DD

DMA Clinical Policy and Programs
Phone Number (919) 855-4290
Fax (919) 715-9451

The Community Alternatives Program for Mentally Retarded/Developmentally Disabled Individuals (CAP/MR-DD) Program is designed to give persons with mental retardation and developmental disabilities a cost-effective alternative to care in an intermediate care facility for persons with mental retardation (ICF-MR).  The goal of CAP/MR-DD is to allow individuals to return to and live in their community with as much independence as possible.

The CAP/MR-DD program is authorized by a Medicaid Home and Community-Based Services (HCBS) Waiver granted by the Centers for Medicare and Medicaid Services (CMS) under Section 1915(c) of the Social Security Act, which establishes the requirements for administration of the CAP/MR-DD program.

General Policy #A4 – Services for Individuals with Mental Retardation/Developmental Disabilities and Mental Health/Substance Abuse Co-occurring Disorders

Additional information about Enhanced Mental Health Services is available in the July 2006 Special Bulletin, Utilization Review of CAP/MR-DD Services and Targeted Case Management of MR/DD.

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.

• Index of Articles for CAP Providers
• Index of All Bulletins
• All Bulletins by Date

CAP/MR-DD Financial Information

Fee Schedules

• Comprehensive Waiver
  • Adobe Acrobat Format - updated 10/01/09
  • Microsoft Excel Format - updated 10/01/09
  • Adobe Acrobat Format - updated 05/27/09
  • Microsoft Excel Format - updated 05/27/09
  • Adobe Acrobat Format - updated 10/28/08
  • Microsoft Excel Format - updated 10/28/08
• Supports Waiver
  • Adobe Acrobat Format - updated 10/01/09
  • Microsoft Excel Format - updated 10/01/09
  • Adobe Acrobat Format - updated 05/27/09
  • Microsoft Excel Format - updated 05/27/09
  • Adobe Acrobat Format - updated 10/28/08
  • Microsoft Excel Format - updated 10/28/08


• Adobe Acrobat Format - updated 01/07/08
• Microsoft Excel Format - updated 01/07/08
• Adobe Acrobat Format - updated 05/31/07
• Microsoft Excel Format - updated 05/31/07
• Adobe Acrobat Format - updated 04/03/07
• Microsoft Excel Format - updated 04/03/07
• Adobe Acrobat Format - updated 03/01/07
• Microsoft Excel Format - updated 03/01/07

Cost Reports

• Community Alternatives Program for the Mentally Retarded Developmental Disabilities (CAP/MR-DD) Services Closeout Cost Report