🌺 CARIUS4U⁺ | Start. Connect. Thrive / Inicia. Conecta. Avanza
❤️ Statewide Support for the Elderly & Disabled
Apoyo estatal para personas mayores y discapacitadas
📘 CARIUS4U⁺ Policy Manual Index
CAP/C & CAP/DA Waiver Operations
Manual applies to both programs unless otherwise noted
CAP/C Program Operations
Staff roles, training, and documentation logic for pediatric waiver services.
CAP/DA Program Operations
Adult waiver documentation, RN oversight, and service planning protocols.
Staffing & Credentialing
Onboarding, credential folders, and CME audit readiness.
Participant Documentation
PCPs, LOCs, HIPAA forms, and Medicaid-native recordkeeping.
Compliance & Monitoring
Internal reviews, corrective actions, and CME alignment.
Technology & Systems
e-CAP, Office Puzzle, NCTracks, and modular system logic.
Contact & Intake Forms
Client onboarding, credential uploads, and referral logic.
🧒 CAP/C Program Operations
Pediatric Waiver Services | Medicaid Coverage Policy 3K-1
CARIUS4U⁺ provides case management and service coordination for children enrolled in North Carolina’s CAP/C waiver. Our operations align with Medicaid-native standards and are structured for audit-readiness.
- ✅ Pediatric-focused service planning and LOC documentation
- ✅ Coordination with DSS, Health Departments, and MCOs
- ✅ RN oversight and credential folder logic for CAP/C staff
- ✅ HIPAA-compliant intake and referral workflows
- ✅ CME-aligned monitoring and incident reporting protocols
All CAP/C documentation is maintained in Office Puzzle and reviewed quarterly. Credential folders, onboarding logs, and service plans are formatted for immediate CME submission.
📎 Reference: CAP/C Clinical Coverage Policy 3K-1 (PDF)
🧓 CAP/DA Program Operations
Adult Waiver Services | Medicaid Coverage Policy 3K-2
CARIUS4U⁺ supports adults with disabilities through North Carolina’s CAP/DA waiver. Our operations are structured for audit-readiness and align with Medicaid-native standards for service planning and documentation.
- ✅ Adult-focused LOC documentation and service plan logic
- ✅ Coordination with DSS, Health Departments, and MCOs
- ✅ RN subcontractor oversight and credential folder formatting
- ✅ HIPAA-compliant intake, referral, and monitoring workflows
- ✅ CME-aligned incident management and quarterly reviews
All CAP/DA documentation is maintained in Office Puzzle and reviewed quarterly. Credential folders, onboarding logs, and service plans are formatted for immediate CME submission.
📎 Reference: CAP/DA Clinical Coverage Policy 3K-2 (PDF)
👥 Staffing & Credentialing
Onboarding Logic | Credential Folder Standards | CME Audit Readiness
CARIUS4U⁺ maintains a fully contracted, virtual staffing model for CAP/C and CAP/DA programs. All onboarding is managed by the Executive Director of Home & Community Services and formatted for Medicaid-native compliance.
- ✅ Credential folders: resumes, licenses, CME logs, signed job descriptions
- ✅ Executive title and reporting lines documented per role
- ✅ Onboarding trackers and reference logs in Office Puzzle
- ✅ CME-ready formatting for staff documentation
- ✅ Quarterly credential reviews for audit alignment
Credential folders are reviewed quarterly and stored securely. Staff maintain audit-ready documentation at all times.
📁 Participant Documentation
HIPAA Forms | PCP & LOC Standards | Medicaid Recordkeeping
- ✅ HIPAA-compliant consent, release, and privacy forms
- ✅ PCPs aligned with waiver goals and service logic
- ✅ LOC documentation formatted for CME review
- ✅ Quarterly monitoring logs and incident reports
- ✅ Medicaid-native recordkeeping for referrals and service notes
Files are reviewed quarterly and formatted for CME submission. PCPs and LOCs are updated with DSS, MCOs, and waiver teams.
🛡️ Compliance & Monitoring
Internal Reviews | Corrective Action | CME Audit Alignment
- 📌 Quarterly monitoring & internal audits
- 📌 Corrective action plans with timestamps
- 📌 Medicaid-native incident reporting
- 📌 Referral & service note tracking
- 📌 Staff performance logs & credential reviews
💻 Technology & Systems
Modular Platforms | Medicaid-Native Tools | Workflow Integration
- 🧩 Office Puzzle for credential folders, service notes, and audit logs
- 🧩 NCTracks for Medicaid billing and eligibility checks
- 🧩 e-CAP for CAP/C and CAP/DA documentation alignment
- 🧩 Modular tech stack avoids lock-in and supports rapid pivots
- 🧩 Visual dashboards and calendar logic for staff workflows
📞 Contact & Intake
Referral Workflow | HIPAA-Compliant Intake | Medicaid-Native Access
- ✅ HIPAA-compliant intake form for CAP/C and CAP/DA referrals
- ✅ Secure upload for LOC, PCP, and consent documentation
- ✅ Medicaid-native intake logic with timestamped submissions
- ✅ Referral coordination with DSS, MCOs, and waiver teams
- ✅ All submissions routed to care@c4uplus.sprucecare.com
- ✅ Direct contact: (252) 371-2003