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The Community Alternatives Program for Disabled Adults (CAP/DA) is a Medicaid program designed to give disabled adults (age 18 and over) who are at risk of unwanted nursing facility placement, the option of remaining safely at home with a package of services to complement their current family support. CAP/DA provides in-home aides to assist clients with personal care tasks such as bathing, dressing, walking, toileting, incontinence care and meals. In-Home aides may also perform light housekeeping tasks and help with shopping and errands. ADTS is the lead agency for CAP/DA in Rockingham County

Eligibility
The CAP/DA program is for adults with disabilities who are 18 years of age or older, and who are at risk of institutionalization.

Services
The services are intended for situations where no household member, relative, caregiver, landlord, community, agency, volunteer agency or third party payer is able or willing to meet all medical, psychosocial and functional needs of the beneficiary. Services include:

• Adult day health
• Personal care aide
• Home accessibility and adaptation
• Meal preparation and delivery
• Institutional respite services
• Non-institutional respite services
• Personal Emergency Response Services
• Specialized medical equipment and supplies
• Participant goods and services
• Community transition services
• Training, education and consultative services
• Assistive technology
• Case management
• Care advisor (CAP/Choice only)
• Personal assistant (CAP/Choice only)
• Financial management services (CAP/Choice only)

Other CAP/DA Services Include:
• Case management
• Telephone alert service
• Home Mobility Aids (wheelchair ramps, doorway widening, safety railings, non-skid surfaces, handheld showers and grab bars)
• Nutritional supplements (Ensure, Boost, etc.)
• Incontinence supplies
• Respite care

Referrals must be approved at intermediate or skilled level of care and be eligible for Medicaid in order for the case management team to conduct a CAP/DA assessment. The assessment must indicate that the client is appropriate for participation in the program before a plan of care can be developed, approved and implemented. Each county is allotted a certain number of CAP/DA slots. When no slots are open, the referral will be placed on a waiting list and processed as soon as possible.