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October 27, 2006
 Clarification Regarding Family Members as Paid Providers Under
North Carolina CAP-MR/DD Waiver
This memo to the North Carolina Legislative Oversight Committee and
other North Carolina Department of Health and Human Service
stakeholders details how the CAP-MR/DD Waiver will change how
family/guardian caregivers may provide care for their family
members. In general the new rules are intended to reduce conflicts
of interest, improve service quality monitoring, and increase choice
for consumers. The rules prohibit the following situations:
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Guardians who also provide direct care services
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Family or parent caregivers who provide direct care services in
excess of 40 hours with in a seven-day period
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Services provided by family or parent caregivers who lack
appropriate training or certification
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