The regulation of a service targeted to frail elders and individuals with disabilities needs to assure that providers can meet the needs of their clients. One option for assuring this is through explicit admission/retention/discharge criteria that set the parameters for who can be served.
Regulatory Review of Adult Day Services: Final Report - Section 1. Definitions of Adult Day Services
States vary considerably in the terms they use for ADS. For example, Arizona and Pennsylvania license adult day health care facilities , Delaware and New Mexico license adult day care facilities , and Oklahoma licenses adult day care centers . West Virginia licenses medical adult day care centers as a special type of ambulatory h
Regulatory Review of Adult Day Services: Final Report - Section 1. Other Required Types of Provider Agreements
States that neither license nor certify generally require publicly funded ADS providers to enter into official, most often contractual, agreements with a state agency, specifying that they will comply with mandated requirements. These states do not have any requirements for providers who serve only private-pay clients. For example:
Only four states both license and certify providers. Kentucky licenses Medicaid providers of adult day health care but certifies facilities for the Adult Day Care and Alzheimer's Respite program. Nevada requires all facilities offering adult day or adult day health care to be licensed (including Medicaid waiver and State Plan providers) and requir
Ten states require certification in place of licensure. Of these, Alaska, Colorado, Ohio, Indiana, and Wisconsin require only Medicaid providers to be certified according to ADS certification standards; non-Medicaid providers do not have be certified. Adult day certification is voluntary for non-Medicaid providers in Wisconsin. The District of Col
States vary in their approach to licensure, primarily licensing providers of specific ADS programs or operators of specific types of facilities or centers. Some states license a single program; others cover two or more program types under a single licensing category; some have separate licenses for specific types of programs in addition to basic l
Regulatory Review of Adult Day Services: Final Report - Section 1. Licensing, Certification, and Other Requirements
The majority of states approach ADS regulation by requiring licensure or certification in accordance with state standards. 25 states require licensure, ten states require certification; and four states require both licensure and certification (in these states, Medicaid and non-Medicaid providers have different requirements.) Thirteen states requir
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.
This report reviewed the literature on the effect of the Program of All-Inclusive Care for the Elderly (PACE) on Medicare and Medicaid expenditures, use of nursing home services, and mortality. PACE plans provide coordinated acute and long-term care services to nursing home eligible seniors residing in the community. [77 PDF pages] ASPE SEARCH
This report developed new estimates of the program’s effects for Program of All-Inclusive Care for the Elderly (PACE) enrollees in eight states based on more recent data. PACE plans provide coordinated acute and long-term care services to nursing home eligible seniors residing in the community. [75 PDF pages]
This report provides a brief overview of the limited research on adult day services conducted to date. It presents an overview of state approaches to regulating adult day services for elderly persons. Findings from site visits to adult day service providers in five state, and providers' and stakeholders' views on regulatory issues in their states
Although adult day care and adult day health care are increasingly promoted as key community-based services for older persons, little is known about their provision, utilization, or outcomes; this is largely due to a paucity of data. This review examines state approaches to regulating these services, also referred to generically as adult day servi
U.S. Department of Health and Human Services Adult Day Services: A Key Community Service for Older Adults Janet O'Keeffe and Kristin Siebenaler RTI International July 2006 PDF Version (81 PDF pages)