OPEN MINDS, The Behavioral Health & Social Service Industry Analyst Industry News Following repeated failures to get approval by the federal Health Care Financing Administration (HCFA) to continue its Medicaid Waiver, Carolina Alternatives (CA) will be discontinued as of June 30, 1999. HCFA, in February, stated that CA's waiver would not be renewed beyond March 1, 1999. CA serves an estimated 131,000 children per month in mental health centers serving Wake and Orange counties. On January 10, CA sites began the transition back to fee-for-service . . .