1. GOVERNING AGENCIES

Agency: Mississippi Department of Human Services (MDHS)

Role: Administers adult day care programs through the Division of Aging and Adult Services

Agency: Mississippi Division of Medicaid (DOM)

Role: Administers Medicaid and HCBS Waiver programs, including funding for adult day care services

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight and ensures waiver compliance

2. ADULT DAY CARE SERVICE OVERVIEW

Adult day care services focus on providing safe, engaging environments for adults who need supervision and assistance during the day. Services are individualized according to the Person-Centered Plan (PCP) or Individual Program Plan (IPP) and may include:

• Social and recreational activities
• Personal care assistance (e.g., bathing, dressing)
• Health monitoring and medication reminders
• Meals and nutritional support
• Cognitive stimulation and therapy
• Transportation to and from the facility

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Mississippi Secretary of State
• Obtain EIN from the IRS and NPI (Type 2)
• Enroll as a Medicaid provider with the Mississippi Division of Medicaid
• Obtain an Adult Day Care Center license from the Mississippi Department of Health
• Maintain liability insurance and documentation of staff qualifications

4. MEDICAID PROVIDER ENROLLMENT PROCESS

Step 1: Pre-Application Contact

• Contact the Mississippi Division of Medicaid for adult day care provider requirements

Step 2: Application Submission

• Submit business registration, license, liability insurance, and service descriptions

Step 3: License Verification

• Ensure that the Adult Day Care Center license is current and complies with state regulations

Step 4: Approval and Medicaid Number Assignment

• Once approved, receive a Medicaid provider number and authorization to deliver services

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Name Registration
• IRS EIN Letter
• NPI confirmation
• Adult Day Care Center license
• Liability insurance certificate

Policy & procedure manual including:

• Safety and health protocols
• Staff qualifications and supervision logs
• Daily attendance and activity records
• Client intake forms and health assessments
• Emergency and incident reporting protocols

6. STAFFING REQUIREMENTS

Role: Adult Day Care Program Director

Requirements: Experience in social work, healthcare administration, or related field

Role: Adult Day Care Staff / Caregiver

Requirements:

• High school diploma or equivalent
• CPR/First Aid certification
• TB clearance and background check

Training Requirements:

• Dementia care and behavior management
• Safety, infection control, and emergency response
• Activity planning and therapeutic engagement
• Annual refreshers on client rights and care ethics

7. MEDICAID WAIVER SERVICES

Adult Day Care Services in Mississippi are available through:

• Elderly and Disabled Waiver (EDW)
• Independent Living Waiver
• Traumatic Brain Injury/Spinal Cord Injury Waiver

Approved providers may deliver:

• Daytime supervision and structured activities
• Health and personal care support
• Meals and transportation during program hours

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: Medicaid Provider Enrollment

Timeline: 60–90 days

Phase: Staff Hiring and Training

Timeline: 30–45 days

Phase: Facility Licensing and Setup

Timeline: 2–4 weeks

9. CONTACT INFORMATION

Mississippi Division of Medicaid (DOM)

Website: https://medicaid.ms.gov

Mississippi Department of Human Services (MDHS)

Website: https://www.mdhs.ms.gov

Mississippi Department of Health (MDH)

Website: https://msdh.ms.gov

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10. SCOPE OF WORK

• Business registration and licensing assistance
• Medicaid provider enrollment
• Policy & procedure manual for adult day care operations
• Templates for safety, daily logs, and activity planning
• Website, domain, and email setup
• Staff credentialing and training documentation
• Client intake packet and health records
• Emergency response planning and safety assessments
• Referral networking with healthcare professionals and community organizations

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — MISSISSIPPI ADULT DAY CARE SERVICES PROVIDER

We support agencies and entrepreneurs in launching compliant Adult Day Care Services across Mississippi under the HCBS Waiver models.