---
title: "North Carolina Home Care Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/north-carolina/home-care-medicaid/
description: "CAP/DA home and community-based care, its nursing-facility level-of-care requirement, and the slot-limited waitlist structure."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
North Carolina · Home & Community Care

# North Carolina Home Care Medicaid

Last updated 2026-10-20

North Carolina's main Medicaid home- and community-based waiver for adults is the Community Alternatives Program for Disabled Adults, known as CAP/DA, which continues to operate under fee-for-service NC Medicaid Direct rather than through managed care.

To qualify, an applicant generally needs to be at least 18, enrolled in NC Medicaid Direct under an approved long-term-care category, in need of nursing-facility level of care, assigned an available waiver slot, and covered by a person-centered plan documenting the risk of institutionalization without home- and community-based support. That slot requirement is important — CAP/DA has a limited number of openings, so eligibility alone doesn't guarantee immediate enrollment, and a waitlist is common.

## Sources and official resources

- [NC Medicaid: Nursing Facilities](https://medicaid.ncdhhs.gov/beneficiaries/long-term-services-and-supports/nursing-facilities)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full North Carolina guide](https://fundingltcmarketplace.com/states/north-carolina/)