

Regulatory Review of Adult Day Services: Final Report - Section 2. California
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. Arkansas
Overview
The Arkansas Office of Long Term Care in the Department of Human Services licenses adult day care (ADC) and adult day health care (ADHC) under separate rules and regulations. Arkansas provides ADC and ADHC under the ElderChoices Medicaid waiver and requires providers to be licensed.
Licensure and Certification Requirements


Regulatory Review of Adult Day Services: Final Report - Section 2. Arizona
Overview
The Department of Health Services licenses adult day health care facilities. The Arizona Administrative Code R9-10-501 to 514 serves as the basis for the licensing requirements. Tribal providers need approval from the tribal government or the Bureau of Indian Affairs to operate an adult day care/adult day health care facility. Med


Regulatory Review of Adult Day Services: Final Report - Section 2. Alaska
Overview
There are no licensure requirements in the State of Alaska for adult day services. There is no oversight for adult day service programs that serve only private pay clients.


Regulatory Review of Adult Day Services: Final Report - Section 2. Alabama
Overview
Alabama provides adult day care (ADC) as a function of Adult Protective Services, under the Department of Human Resources, under Adult Day Care Requirements from the Office of Social Service Contracts.


Regulatory Review of Adult Day Services: Final Report - Section 2
Regulatory Review of Adult Day Services: Final Report
SECTION 2. STATE REGULATORY PROFILES
adultday2.pdf
adultdayAK.pdf
adultdayAL.pdf
adultdayAR.pdf
adultdayAZ.pdf
adultdayCA.pdf
adultdayCO.pdf
adultdayCT.pdf
adultdayDC.pdf
adultdayDE.pdf
adultdayFL.pdf
adultdayGA.pdf
adultdayHI.pdf
adultdayIA.pdf
adultdayID.pdf
adultdayIL.pdf
adultdayIN.pdf
adultdayKS.pdf
adultdayKY.pdf
adultdayLA.pdf
adultdayMA.pdf
adultdayMD.pdf
adultdayME.pdf
adultdayMI.pdf
adultdayMN.pdf
adultdayMO.pdf
adultdayMS.pdf
adultdayMT.pdf
adultdayNC.pdf
adultdayND.pdf
adultdayNE.pdf
adultdayNH.pdf
adultdayNJ.pdf
adultdayNM.pdf
adultdayNV.pdf
adultdayNY.pdf
adultdayOH.pdf
adultdayOK.pdf
adultdayOR.pdf
adultdayPA.pdf
adultdayRI.pdf
adultdaySC.pdf
adultdaySD.pdf
adultdayTN.pdf
adultdayTX.pdf
adultdayUT.pdf
adultdayVA.pdf
adultdayVT.pdf
adultdayWA.pdf
adultdayWI.pdf
adultdayWV.pdf
adultdayWY.pdf


Regulatory Review of Adult Day Services: Final Report - Section 1. Staffing Requirements
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


Regulatory Review of Adult Day Services: Final Report - Section 1. Provisions Regarding Medications
Most states do not specify medication administration as a required service, except for adult day health care providers. The majority of states require licensed personnel to administer medications. States that permit unlicensed staff to administer medications generally required that they do so under nurse delegation provisions, though a few require


Regulatory Review of Adult Day Services: Final Report - Section 1
Regulatory Review of Adult Day Services: Final Report
SECTION 1. OVERVIEW OF ADULT DAY SERVICES REGULATIONS
This section provides a brief overview of states' approaches to regulating ADS providers in key areas and highlights similarities and differences among them.
adultday1.pdf


Advance Care Planning and Public Engagement. I. Introduction
Despite local, state, and national efforts since the mid-1970s to adopt health care advance directives as the central tool to ensure that one’s health care wishes are known, only a minority of Americans have adopted this formal approach to detail their wishes and name their proxy. 1 Meanwhile, medical innovation and technological complexity ha


Advance Care Planning and Public Engagement
Myra J. Christopher and John G. Carney
Center for Practical Bioethics
acppe.pdf


Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 5.3. What Services Do They Qualify For?
Depending on the state, public mental health services may include a wide range of services that vary in intensity and duration, from medications and medication management at an outpatient clinic (low intensity, varying duration depending on need), through crisis stabilization (very intense but usually lasting a few days at most), and inpatient hos


Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 5.2. Who Qualifies for Medicaid Mental Health Services?
Community-based mental health services, as used in this report, are a range of services that are part of a system of treatment and support for people with mental health disorders that enable them to live stably in the community. 55 Given our focus on services for people living in PSH, this most often means services that are included in Medicaid s


Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. Summary of Key Findings
Medicaid Eligibility, Enrollment, and Services


Racial and Ethnic Disparities in Alzheimer's Disease: A Literature Review. Evidence of Racial and Ethnic Disparities
Prevalence, Incidence, and Diagnosis


The Feasibility of Using Electronic Health Data for Research on Small Populations. Potential for Future Research on Small Populations
Despite existing challenges to meeting the conditions needed to use EHR data for research, the experts we interviewed provided examples of innovative ways barriers were being overcome. Additionally, they were cautiously optimistic that some other barriers could overcome in relatively short time frames, potentially resulting in a “tipping point


The Feasibility of Using Electronic Health Data for Research on Small Populations. Technical Conditions Required for Research Using EHR and Other Electronic Health Data
In order to use information in EHRs for research, it is first necessary for a number of technical conditions to be in place, such as the ability to extract and format data for research, as well as to address issues with missing data and data quality. As with claims data, the information in EHRs was not collected for research purposes.


The Feasibility of Using Electronic Health Data for Research on Small Populations. Availability of Information to Identify Small Populations
Some small populations may be identifiable using information that is now typically recorded in EHRs. Residents of rural areas may be identifiable by the address and zip code information that is collected for billing purposes, although not all providers collect updated address information at each visit, so some of this information may not be up to


The Feasibility of Using Electronic Health Data for Research on Small Populations. Information Available in an Electronic Health Record
To be useful for research on small populations, EHRs much include information identifying individuals as fitting into those populations, as well as information about their health and health care. For example, even if members of an Asian subpopulation were identifiable using EHRs, if they rarely seek health care or tend to seek care from places whe