Innovations Waiver Program: PDF Print E-mail

Innovations Waiver (Community Alternatives Program) for Persons with Mental Retardation/Developmental Disabilities (CAP=MR/DD) is a special Medicaid program stated in 1983 to serve individuals who would otherwise holdinghand_200require care in an intermediate care facility for people with the mental retardation/developmental disabilities (ICF/MAR). It allows these individuals the opportunity to be served in the community instead of residing in an institutional or group home setting.

CAP-MR/DD operates under a Medicaid home and community-based services waiver granted by the Health Care Financing Administration (HCFA). HCFA approves the services, the number of individuals that may participate, and other aspects of the program. The participants must be at risk of institutionalization. The Medicaid cost for community care must be cost effective in comparison to the cost of ICF/MR care.

The CAP-MR/DD program is administered by the Best Practice and Community Innovations Team in the Community Policy Management Section of the Division of Mental Health, Developmental Disabilities and Substance Abuse Services. The Local Management Entities are responsible for operationat the local level. The Division of Medical Assistance, as the State Medicaid Agency, provides oversight in relation to Medicaid and waiver issues.

The services covered under Innovations Waiver (CAP-MR/DD):

  • Day Support Services
These services are offered in non-residential settings and are focused on helping individuals reach their highest level of functioning. Improvements in self-help, socialization, and adaptive skills are important goals. Day supports serve to strengthen the skills learned in schoolor in physical, occupational, or speech therapies. Day services may focus on prevocational activities such as improving attention span, motor skills, attendance, and the completion of assigned tasks.

  • In Home Skill Building
These habilitation services are individualized to meet the specific needs of each person as outlined in his/her Person-Centered Plan. These integrated supports include training, instruction, and supervision and can be delivered in a person's home or in various communitysettings. These services are focused on helping individuals build skills that will enable them to function with greater independence.

  • Personal Care Services
When individuals need help with the activities of daily living such as bathing, dressing, meal preparation and eating, and care of personal hygiene, our direct care professionals can offer support for these activities.

  • Residential Supports
Makin’ Choices residential supports are designed toassist individuals in a variety of living arrangements - whether group homes, apartments, or within their own homes. We offer a wide range of supports and specialized services, help with daily living activities and helping people build the skills they need to live more independently.

  • Respite Services
Everyone needs a break now and then. We understand and can help. Our respite services allow you to have that night out or afternoon outing without worrying. Through respite services, we offer caregivers temporary relief and rest while ensuring a high level of care provided by skilled and compassionate professionals.

  • Supported Employment
Makin’ Choices offers supported employment to increase job opportunities for people with disabilities. We are constantly building local and regional partnerships with the business community that can help the people we support find long-term employment. We can help job seekers find suitable employment, coordinate transportation, and even offer on-the-job support for as long as needed

To learn more about our services please CONTACT US
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quoteblockquoteblockrightMakin' Choices changed my life. I was struggling to a find direction and Miss Blue and her staff pointed the way. I really appreciate what they did for me.  - Michael from Fayetteville
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