Performance Improvement 2007. How Do States Regulate Adult Day Care and Adult Health Care Services?



This study examined State approaches to regulating adult day care and adult day health care, generically called adult day services. Adult day services are non-residential community services provided outside the home. The purposes of the study were to learn what role such services can and do play in health care and long-term care, to identify operational and regulatory issues facing adult day service providers, and to guide future research and policy analysis. Although promoted as community-based service for older persons, little is known about the provision, use, or outcomes of adult day services. States either license or certify adult day care providers. This study found that states vary in how they regulate these services. A majority require inspections annually and several have unannounced visits. There may be additional Medicaid requirements for Medicaid-funded adult day service facilities. Most states have minimum mandatory staff-to-participant ratios. Nearly two-thirds require one staff for every six to eight persons. States are interested in the potential of adult day services to reduce health care costs, and prevent or delay nursing home placement.

Report Title: Regulatory Review of Adult Day Services
Agency Sponsor: ASPE, Office of the Assistant Secretary for Planning and Evaluation
Federal Contact: Rosenoff, Emily, 202-690-6443
Performer: Research Triangle Institute; Research Triangle Park, NC
PIC ID: 8343.1

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"PerformanceImprovement2007.pdf" (pdf, 717.63Kb)

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