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Health Care
Nov 1, 2023

NC Community Alternatives Program Helps Disabled and Elderly Adults Improve Quality of Life

Sponsored Content provided by Tim Brooks - President, Healthkeeperz, Inc.

In North Carolina, the Community Alternatives Program (CAP) is a Medicaid program designed to provide home and community-based care and case management services to individuals who would otherwise require nursing home care. 

CAP is based on a collaborative and person-centered approach that helps disabled adults access the necessary services, support, and resources to enhance their overall well-being and quality of life. The program enables providers such as Healthkeeperz in Fayetteville to assist disabled children, adults, and senior citizens to maintain independence and receive needed care in their home or a group home environment. 


To qualify for CAP services, individuals must meet certain eligibility criteria, such as having a diagnosed medical condition that requires nursing care and being eligible for Medicaid (individuals earning less than 138% of the federal poverty level are eligible under the new Medicaid expansion guidelines).  

Healthkeeperz provides a range of CAP services, based in the home as well as the community. depending on the individual's needs and preferences. CAP caretakers work with disabled individuals to develop individualized care plans tailored to their unique needs, goals, and preferences. Depending on the individual’s needs, these services can include personal care, respite care, home modifications, home-delivered meals, adult day care, transportation, and more.

To support autonomy and uphold the patient’s dignity, CAP places an emphasis on person-centered planning, where the participant, along with their family or caregivers, plays an active role in developing a plan of care that meets their specific needs and goals. For example, participants in the CAP program have the freedom to choose their service providers, which can include skilled professionals at agencies such as Healthkeeperz that are approved by the state to provide CAP services.


With a focus on integrated, continuous care, CAP patients receive ongoing monitoring to ensure their needs are being met. CAP caretakers work with disabled adults to establish clear goals and objectives, whether related to improving health, achieving greater independence, or pursuing vocational and educational opportunities. They also track progress toward these goals and make adjustments as needed.

CAP is an essential part of North Carolina's efforts to provide long-term care options that prioritize community-based care over institutionalization. It allows eligible individuals to receive the care and support they need with maintaining independence and family and community connections, which can lead to improved health outcomes and reduced healthcare costs over time.

By addressing the unique needs and challenges of disabled adults, skilled CAP services can also  contribute to increased independence, enhanced social connections, and better overall well-being. Find out more about Healthkeeperz’ CAP services at 

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