Division of Health Benefits

North Carolina Community Alternatives Program – Children

PROGRAMS FOR

MN

Multisystem Needs (0-20 yrs)

DD

Developmental Disabilities (18 and under)

IDD

Intellectual and Developmental Disabilities (18 and under)

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Learn More about PPL in NC

Overview

What is the Community Alternatives Program – Children (CAP/C)?

CAP/C is a Medicaid program in North Carolina that helps medically fragile children get the care they need at home instead of in a hospital or long-term care facility. It’s for kids who qualify for Medicaid and need a high level of care to stay safe and healthy in their own communities. CAP/C services work alongside the support families already provide (like help from parents, relatives, or other caregivers) to make sure children can live at home and avoid institutional care. It’s all about keeping families together and giving kids the chance to thrive in familiar surroundings.

CAP/C is an NC Medicaid Home and Community-based Services (HCBS) program authorized under section1915(c) of the Social Security Act and complies with 42 CFR § 440.180, Home and Community-based Waiver Services.

Participants can 

Decide how much to pay for services, and negotiate with careworkers (within your budget).

Find, hire, manage, and dismiss your careworkers.

Use BetterOnline to review your budget and approved services.

Use BetterOnline to monitor your care worker’s hours and spending.

Use BetterOnline or Time4Care to review, approve, and submit your careworker’s timesheets.

Services include

Payroll – We process payroll for your careworker using money from your budget.

Employment tax requirements – We handle all employment-related taxes for you, including federal, state, local, and unemployment.

Monthly budget managementWe help you keep your spending on track. 

Enrollment support – We help you and your care worker with enrollment and training through your enrollment specialist,

Customer service – Our friendly and professional customer service agents are available five days a week to help you with any questions.

Service reports – With our reports you’ll always have a clear picture of the services you’ve received. 

How to get started

Take the questionnaire

Time4Care™

Both participants (employers) and caregivers (employees) have lots of timekeeping to do when working in a self-direction program.

Time4Care is our highly rated mobile solution for Apple and Android smart devices.

Reminders to submit timesheets

Timesheet submission and approval alerts

Timesheet error checking

Offline time entry

Simple calendar interface

Privacy features

Documentation

Instant timesheet approval

Works right in the MyAccount/BetterOnline portal

BetterOnline™

Better Online is a web-based app that keeps you organized and gives you the tools and info you need to manage your self-direction journey. Handle timesheets, check how much you spend each month, and get answers when you need them. It’s easy to use and available from any internet-connected device.

Log in

Select the system to go to the login page.

Time4Care™

Log time and review, approve, and submit timesheets with ease.

Learn more about the benefits of Time4Care

Download on App Store Download on Google Play
BetterOnline™

Fill out, approve, and submit timesheets, complete enrollment paperwork, and run reports 

Program Documents

Contact Information

Customer Service Hours:
Monday – Friday:
8am – 5pm | ET