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NC Division of Medical Assistance |
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Clinical Coverage Policies and Manuals
Proposed Medicaid Clinical Coverage Policies
Reporting a Change in Provider Status
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.
For service requirements, coverage criteria and limitations refer to
For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.
