NORTH CAROLINA
Division of Health Benefits
North Carolina Community Alternatives Program – Disabled Adults
PROGRAMS FOR
Developmental Disabilities (Adult)
Intellectual and Developmental Disabilities (Adult)
WHAT’S NEW
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Learn More about PPL in NCOverview
What is the Community Alternatives Program – Disabled Adults (CAP/DA)?
CAP/DA is a Medicaid program that helps older adults and people with disabilities stay in their homes and communities instead of moving into a nursing home or other long-term care facility. It’s designed for people who are medically fragile and need extra support to live safely at home. If you qualify for Medicaid and meet the institutional level of care, CAP/DA can provide services that work alongside the help you already get from family, friends, or other providers. These services don’t replace your current support, they just fill in the gaps to help you stay independent and avoid institutional care!
CAP/DA is a 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 management – We 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
Are you wondering if self-direction is right for you or your loved one?
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 PlayFill out, approve, and submit timesheets, complete enrollment paperwork, and run reports
Program Documents
Contact Information
Customer Service Hours:
Monday – Friday:
8am – 5pm | ET
Customer Service / General Questions:
833-202-6168
Customer Service Email:
NCCAP-CS@pplfirst.com