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Community Alternative Care (CAC)

The Community Alternative Care (CAC) Waiver is for chronically ill and/or medically fragile persons who need the level of care provided in a hospital.  To be eligible for the CAC Waiver, a person must choose the CAC Waiver and meet all of the following criteria:

  • Be eligible for Medical Assistance (MA)
  • Be certified disabled by Social Security or through the State Medical Review Team (SMRT) process
  • Be under the age of 65 years at the time of opening to the waiver
  • Be determined by the case manager/service coordinator to need hospital level of care
  • Be certified by the primary physician to meet the level of care provided in a hospital
  • Has an assessed need for supports and services over and above those available through the MA State Plan
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Hospital Level of Care Criteria

A person must meet all four of the following:

  • Need skilled assessment and intervention multiple times during a 24 hour period to maintain health and prevent deterioration

  • Due to their health condition, has both predictable health needs and the potential for status changes that could lead to rapid deterioration or life threatening episodes

  • Require a 24 hour plan of care that includes a back up plan that reasonably assures health and safety in the community

  • Without the provision of services under the CAC waiver, would require frequent or continuous care in a hospital

Available Services

  • Case Management
  • Case Management Aide
  • Consumer Directed Community Supports (CDCS)
  • Extended Home Care Services
  • Family Counseling and Training
  • Foster Care
  • Homemaker
  • Modifications and Adaptations
  • Nutritional Therapy
  • Prescription Drugs
    (no longer a covered service)
  • Respite
  • Specialized Supplies and Equipment
  • Transportation
  • Transitional Services

Have Questions or Need Help?

We are available to provide with you guidance and support.

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