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Insurance/Medicaid

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: 10am - 5pm
                                                                             Saturday: 10am - 3pm
Website:   http://alleghanycares.com

Health Choice
https://www.ncdhhs.gov/health-choice-children-health-insurance-low-income-children​

​
NC Medicaid Services
https://medicaid.ncdhhs.gov/


VAYA Health-Innovations Plus
(
formerly Smoky Mountain Center)


Phone:    (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.


What is the Registry of Unmet Needs?
The Registry of Unmet Needs is a registry, or waiting list, for individuals who are in need of NC Innovations Waiver and/or other intellectual and/or developmental disability services and funding. Each Local Management Entity/Managed Care Organization (such as Vaya Health) maintains its own Registry of Unmet Needs.
NC Innovations Waiver funding is limited. Vaya maintains the Registry to help identify individuals that could receive NC Innovations Waiver services if additional funding is available. Individuals are guided to other resources while they are waiting for waiver funding.

Why Is it Important to Get on the Registry of Unmet Needs?
The Medicaid Innovations Waiver help Individuals with Intellectual or Developmental Disabilities (I/DD) live a more independent lifestyle. One of the first actions to take when you obtain a diagnosis is to apply for an Innovations Waiver. This cannot be stressed enough: there is a waitlist for the Waiver, which varies by county. Even if you think you may not want or need services for your child, please apply ASAP; you can always reject the Waiver when it is offered.   Please note that while Medicaid funds the Waiver,  it is not necessary to have Medicaid when you apply for an Innovations Waiver.
​

How Can I Get More Information or Apply?
For more information on the RUN, please contact the 24/7 Access to Care Line at 1-800-849-6127. (Our Access to Care staff do answer crisis calls, but they’re also available any time to answer general questions about Vaya/local services, including the RUN process).


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:  
  • 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 ​​
Counties We Serve
Alleghany
Ashe
Avery
Mitchell
Watauga
Wilkes
Yancey
Parent to Parent FSN-HC
Contact Us
Social Media
Website: parent2parent.appstate.edu
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2359 Highway 105 Boone, NC 28607
Phone: 828-262-6089
Toll Free: 866-812-3122
parent2parent@appstate.edu