To use digital cable you have to use the set-top box as tuner, and change channels from the PC with an IR blaster or serial cable. You connect the set-top box to your capture card with S-Video or composite instead of coax. Note that I don't know how easily MCE handles channel changes with IR or serial because I don't use it, but other programs like Sage handle it fine so I can only assume MCE does; someone who uses MCE can perhaps let you know.