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B. Individuals requesting CAP services must have a CAP assessment to determine the need for services relevant to the appropriate CAP program.

C. Upon completion of the CAP assessment the local agency will receive the following:

1. For Approvals

a. The DHB-2193, Memorandum of CAP Waiver Enrollment Status and

b. The Service Plan, which includes The Plan of Care Summary (POC)

2. For Denials

a. The DHB-2193, Memorandum of CAP Waiver Enrollment Status and

b. The Notice of Denial of CAP participation.

D. When Medicaid eligibility can be established regardless of CAP eligibility:

1. Do not wait for CAP approval; and

2. Authorize, if appropriate, as for any other application/change in situation. Follow the basic income rules section, MA-2260, Financial Eligibility Requirements-PLA.

E. When Medicaid eligibility cannot be established without CAP eligibility:

1. Verify the status of the Service Plan/Plan of Care with the CAP case manager, and

2. Deny the application if the decision for CAP participation DHB-2193, Memorandum of CAP Waiver Enrollment Status, is not received by the 45/90th calendar day.

IV. BUDGETING

Upon receipt of the DHB-2193, Memorandum of CAP Waiver Enrollment Status, CAP budgeting applies the month of the CAP Effective Date.

A. Follow the basic income rules section, MA-2260, Financial Eligibility Requirements-PLA.

For keying instructions refer to NC FAST Job Aid: Community Alternatives Program (CAP), Traumatic Brain Injury (TBI) & Innovations