North Carolina CAP Program

Personal Representative Form Participant Employer Packet Participant Deductible Payment Agreement FLSA Employer Exemption Form Employee Wage and Hours Agreement Form Employee Termination Form GEN-58 GEN-58 Guide NC CAP Max Pay Rates Nurse Employee Attestation Form NC Dept. of Commerce Agent Auth NC Dept. of Commerce Agent Auth SAMPLE NC Dep. of Commerce POA NC Dept. of Commerce POA SAMPLE

Form W-4 Form NC-4EZ Form I-9 Form NC-4 Employee Packet Attestation to the Employee Live-in Exemption Form EVV Live-In Caregiver Attestation Form Direct Deposit Cancellation Form Direct Deposit Authorization Form

NC CAP Bi-Weekly Pay Schedule July 2024 - June 2025

What is Medicaid Fraud Signs of Abuse, Neglect & Exploitation Employer Resource Guide Employee Safety Training NC CAP Case Worker Monthly Deductible Attestation FAQ's for NC CAP Commonly Used Acronyms and Terms for NC CAP

CAP Participant Referral Form - FMS Transfer CAP Participant Referral Form - New to Self-Direction CAP Budget Request Form Case Worker DCI Access Request