1. Program Definition and Services
Adult Day Health Services (ADHS) provide a structured, comprehensive program of health, therapeutic, and social services to adults with functional impairments. Services include:
- Nursing care and health monitoring
- Personal care assistance
- Physical, occupational, and speech therapy
- Mental health services
- Therapeutic activities
- Social service
- Nutritional counseling and meals
- Transportation to and from the center
2. Regulations
The primary regulations governing Adult Day Health Services in California are:
- California Code of Regulations, Title 22, Chapter 10
- California Health and Safety Code, Chapter 3.3
3. Licensing or Certification
Adult Day Health Care (ADHC) centers must be licensed by the California Department of Public Health (CDPH) and certified by the California Department of Aging (CDA) to provide Medi-Cal reimbursable services
4. Responsible State Agency
Multiple agencies oversee ADHS in California:
- California Department of Public Health (CDPH) for licensing
- California Department of Aging (CDA) for certification
- California Department of Health Care Services (DHCS) for Medi-Cal administration
5. Application Process
The application process involves:
- Submitting a pre-screening application to the CDA CBAS branch
- Upon approval, submitting applications to both CDA and CDPH
6. Required Documentation
Required documentation includes:
- Completed application forms
- Program plan detailing operational procedures and services
- Proof of administrator certification
- Background check clearances for all staff
- Facility compliance documentation
7. Timeline for Approval
The entire ADHC licensing process typically takes about 12-18 months
8. Pre-Application Process
Prospective providers should:
- Identify a service area
- Research local needs and regulations
- Develop a comprehensive business and program plan
9. Pre-Application Training
The program administrator must complete an Adult Day Health Care Administrator Certification Course approved by the state, covering topics such as program management, health services, and regulatory compliance.
10. Additional Notes
- As of February 2025, there is a moratorium on new ADHC centers enrolling in the Medi-Cal program, pending transition to an HCBS waiver program
- ADHC centers must provide a minimum of 3.5 hours of direct care per day to each participant
- Services are designed for adults 55 years or older or other adults with functional impairments
- Recent legislation has emphasized person-centered planning and community integration in service delivery.
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