Community Alternative Program

A community Alternative Program that allows disabled adults, 18 years or older to stay in the comfort of their own home.CAP clients are provided the care and support needed to enable the them to make choices and decisions about their own care.

CAP/DA- Program is for adults who have no third party support system and are at risk for being placed in a long term care facility.

CAP/Choice- Allows clients to direct and have control over their own care and services.

Eligibility Requirements

-Person must be 18 years or older

-Must be eligible for Medicaid

-Person who lives in a private residence, who is at risk for nursing home placement

-Person whose health and well-being is at risk and who can be maintained at home with the Medicaid      cost limit 

Services Include:

Adult Day Health

Home Accessibility and Adaptation

Personal Care Aide

Meal Preparation and Delivery

Institutional Respite Services

Non-Institutional Respite Services

Personal Emergency Response Services

Medical Equipment and Supplies

Participant Goods and Services

Community Transition Services

Training, Education and Consultation

Case Management

Care Advisor (CAP/Choice Only)

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Tel: (828) 765-5677

Fax: (828) 765-5680


236 Hospital Dr. 

Spruce Pine, NC, 28777

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Admissions Criteria

Diagnosis of a Serious Illness

Seeking Curative Treatment

Physician Willing to Work with the Pathways Palliative Team



Nursing Homes

Assisted Living Facilities


Services Available

Access to a Registered Nurse

Physician Visits

Social Work and Chaplain Support




Private Insurance

Services Regardless of Ability to Pay

For More Information Contact Us At: 


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