Insurance/Medicaid

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CAP/DA (Community Alternative
Program /Disabled Adults)

Phone: (336) 372-4464

Address: Appalachian District Health
157 Health Services Road, Sparta NC 28675

Description of Services: Community Alternative
Program for Disabled Adults -Medicaid
funded program promoting home care as
an alternative to nursing home care for disabled
adults 18 yrs. and older

Alleghany Cares 

Address: 25 Womble Street, Sparta, NC, 28675
Phone: (336) 372-5959
Description of Services: 

• Fueling Hope (gas vouchers for cancer patients)
• Medication Assistance Program
• Educational Scholarships
• Shoes for Elementary School Students
• Adult Dental Program
• Food and Clothing

Hours of Operation: Wednesday- Friday: 10-5
Saturday: 10-3
Website: http://alleghanycares.com/Home.php

VAYA Health-Innovations Plus
(formerly Smoky Mountain Center)

Phone: Local: (828) 265-5315
             Customer Service: 1-888-757-5726
Watauga Address: 895 State Farm Rd.
                                Boone, NC 28607

Description of Services: A public managed care organization that oversees Medicaid, state and local funding and offers a comprehensive health plan for individuals and families in need of mental health, substance use or intellectual /developmental disability services.

Service Area: 21 Counties of Western NC

Eligibility: Call 1-800-849-6127 to find out how to obtain services and support for mental health, developmental disabilities and substance abuse 24 hours a day, 7
days a week in their community.

Website: http://vayahealth.com/​

CAP/C (Community Alternative Program for Children) Home Care

Description of Services: The Community Alternatives Program for Children (CAP/C) provides cost- effective home care for medically fragile children who would otherwise require long-term hospital care or nursing facility care. Services include: case management, respite care, home and vehicle modifications, palliative care, hourly skilled nurse or nurse aid and many more.

Ages Served: Birth up to age 21

Fees/Payment Type Accepted: Medicaid

Eligibility: Children who meet all of the following may be approved for CAP/C participation:

• Age under 21 years
• Medically fragile
• At risk for institutionalization
• Lives in a private residence while on the program
• Requires one waiver service (excluding respite and waiver incontinence supplies) in addition to case management at least once per 90 days
• Requires the service to supplement, not replace, existing resources
• Requires the service to meet specific unmet needs of the child
• Is not requesting CAP/C solely to become eligible for Medicaid or other Medicaid services
• Meets the Medicaid eligibility criteria for CAP/C including approval for disability by the Social Security Administration if applicable
• Has an emergency back-up plan with adequate social support to meet the basic needs outlined in the CAP/C assessment to maintain their health, safety and well-being
• Can have his/her healthcare needs met within the CAP/C cost limit for the selected services and there is no other more conservative or less costly treatment available statewide

Service Area: State

Website: https://dma.ncdhhs.gov/providers/programs-services/long-term-care/community-alternatives-program-for-children ​​