SPEED REFERRAL for
Community Alternatives Program for Disabled Adults (CAP/DA)
FAX: 919-872-6683

This form is intended to facilitate the referral process that you, as a professional, are undertaking on behalf of your client.

For the CAP program, your client must be a resident of Wake County, 18+ years of age, at a nursing home level of care, at risk for nursing home placement related to care needs, and eligible for Medicaid. An Intake specialist, who can be reached by calling 919-872-7933, can assist you in screening your client if you are unsure whether yours would be an appropriate referral.