Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Waiver Program


The state's waiver program for elderly persons is called the Community Alternatives Program for Disabled Adults (CAP/DA). Only persons residing in their own or another's home can receive waiver services because North Carolina licensing rules do not permit any residential care settings to serve persons who need a nursing home level of care. Due to a nursing home bed shortage and other factors, some people who meet the state's nursing home level of care criteria do in fact reside in adult care homes. They are not eligible for waiver services but can receive some nursing care through Medicare or Medicaid Home Health services".

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