Community Alternatives Program (CAP)

Currently, there are four Community Alternatives Programs (CAP) that help people who need long term care stay in their own homes for the state.

CAP provides both medical and non-medical services to prevent or delay care in a facility.

CAP funds are limited and only a specific number of people may participate in each program.


  • Community Alternatives Program for Children
  • Community Alternatives Program for Disabled Adults (CAP/DA) - This program provides a package of services to allow adults (age 18 and older) who qualify for nursing facility care to remain in their private residences. The program is available in all North Carolina counties. View the CAP/DA Lead Agency List (PDF).
  • Community Alternatives Program - This program is for Persons with Mental Retardation or Developmental Disabilities (CAP-MR/DD) provides community services to individuals of any age who qualify for care in an intermediate care facility for the mentally retarded (ICF-MR). The program is available statewide through local area mental health, developmental disabilities and substance abuse programs.