Overview All facilities offering adult day or adult day health care (ADHC) must be licensed by the Bureau of Licensure and Certification in the Department of Human Resources Division.
Overview The Nebraska Department of Health and Human Services (DHHS) Regulation and Licensure provides regulations to govern licensure of adult day services in the Nebraska Administrative Code (NAC). The regulations are authorized by and implement the Health Care Facility Licensure Act, Nebraska Revised Statutes . This profile contains bot
Overview The Mississippi Department of Human Services, Division of Aging and Adult Services, administers and monitors adult day care centers that wish to enter into an agreement to provide services through the Area Agencies on Aging under Older Americans Act funding under a set of Quality Assurance Standards described in this profile.
Overview Minnesota Rules, Rule 223 and Minnesota Statutes, Chapter 245A establish procedures and standards for the licensure of adult day care centers or adult day services centers and family adult day services providers that regularly provide care for functionally impaired adults. Licensure and Certification Requirements
Overview Massachusetts provides adult day health services through its Medicaid state plan program, MassHealth. Provider services are governed by regulations published in the Adult Day Health Provider Manual under a contract between MassHealth and the provider.
Overview Maryland licenses two types of adult day services--day care and medical day care--through the Office of Health Care Quality (OHCQ) in the Department of Health and Mental Hygiene. Day care services are offered and managed by the Department's Office of Health Services (OHS) through state-funded contracts, and are subject to the state's
Overview The Division of Licensing and Certification, Department of Health and Human Services (DHHS), promulgates regulations in accordance with Title 22, Maine Revised Statutes Annotated, governing the licensing and functioning of adult day services (ADS) programs. All providers are required to be licensed by the DHHS Community Services Progr
Overview Adult day health care (ADHC) in Louisiana is regulated by the Department of Health and Hospitals (DHH), Bureau of Community Supports and Services (BCSS) under Title 50 of the Louisiana Administrative Code . Providers are licensed to provide service to Medicaid adult day health care waiver clients, to private pay clients, and under p
Overview Adult day care and adult day health care (ADHC) are regulated by the state Cabinet for Health and Family Services. The Division of Aging Services certifies facilities for the Adult Day Care and Alzheimer's Respite program, which is governed under Kentucky Administrative Regulations 910 KAR 1:160 and 1:230.
Overview The state's adult day services licensing standards, developed after the legislature approved licensing authority in 2003, are currently voluntary due to lack of funding for the licensing agency to administer the licensing process. However, the Division of Aging Services has standards that must be met by providers in the statewide agin
Overview The state has two models of adult day care (ADC): the social model and the medical model. The social model is designed for individuals who need supervision and activities but not extensive personal care and medical monitoring.
Overview In California, adult day care services are provided in two types of licensed facilities: adult day programs (ADP) and adult day health care (ADHC) centers. In addition, each local Area Agency on Aging designates at least one Alzheimer's day care resource center (ADCRC) in its planning and service area to provide specialized Alzheimer'
Regulatory Review of Adult Day Services: Final Report SECTION 2. STATE REGULATORY PROFILES
Virtually all states have both orientation and initial and ongoing training requirements, but they are minimal. Some requirements are quite general, while others are specific regarding the type of training and the number of hours required. Most states require at least one staff trained in first aid and CPR on duty at all times. Examples of the wid
States vary with regard to the number of staff required. Most states specify minimum staff-to-participant ratios. As shown in Exhibit 2 , mandatory ratios range between one to four and one to ten. Some states require different ratios for different types of ADS, and some states specify both a required ratio and a recommended ratio. Some states re
All states identify a range of required and optional ADS in their licensing or certification requirements or other types of agreements. States list required and optional services for each type of ADS that they license, certify, or otherwise regulate (e.g., for adult day care and adult day health care). The services we included in our review are: