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North Carolina Medicaid waivers that pay for home care

Last verified April 30, 2026 · All North Carolina resources

North Carolina Medicaid pays for in-home personal care and related services through the Community Alternatives Program for Disabled Adults (CAP/DA). North Carolina uses a multi-aggregator open EVV model. CAP/DA is the primary HCBS waiver for adults with disabilities; the state also operates CAP/C (children) and innovations waivers for IDD populations. NC Medicaid transitioned to managed care via Standard Plans, LME/MCOs, and Tailored Plans.

Which North Carolina waivers can a home care agency bill?

Each waiver below lists who it covers, the services it pays for, and how providers bill.

Community Alternatives Program for Disabled Adults (CAP/DA)

Population
Adults 18 and older with disabilities who meet nursing facility level of care
Services covered
  • personal care
  • in-home aide
  • respite
  • adult day health
  • home modifications
  • case management
Billing format
Fee-for-service via NC Medicaid Direct or managed care; EVV via Sandata, HHAeXchange, or CareBridge depending on plan
Prior authorization
Required
Open waiver page (opens in a new tab)

Sources

More for North Carolina

Medicaid waiver lookup: other states

Related guides

Authorizations

How to Become a Medicaid Provider for Home Care

To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.

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