• Continuous supervision to ensure health care needs are met 

• Supervision of self-administration of medications 

• Nursing services, including medication administration 

• Personal care services 

• Self-care training 

• Social and recreational activities 

2. Regulations 

ADHC is governed by Kentucky Administrative Regulations, specifically 907 KAR 1:160 and 170, and 902 KAR 20:066. 

3. Licensing or Certification 

ADHC providers must be licensed by the Office of Inspector General under the Department for Medicaid Services' Home and Community-Based Waiver Program. 

4. Responsible State Agency 

The Kentucky Cabinet for Health and Family Services, specifically the Office of Inspector General, is responsible for licensing ADHC providers. 

5. Application Process 

While the specific application process is not detailed, providers likely need to contact the Office of Inspector General to initiate the licensing process. 

6. Required Documentation 

Providers must submit: 

• Proof of continuous supervision capabilities 

• Documentation of staff qualifications and training 

• Policies and procedures for medication management 

• Plans for social and recreational activities 

• Evidence of compliance with health and safety regulations 

7. Timeline for Approval 

The exact timeline for approval is not specified in the available results. 

8. Pre-Application Process 

There is no specific pre-application process mentioned by the State. 

9. Pre-Application Training 

While not explicitly stated as pre-application, ADHC providers must ensure that staff are trained in: 

• Prevention, identification, and reporting of abuse, neglect, and exploitation 

• Policies and procedures pertinent to their roles within the program 

10. Additional Notes 

• ADHC services are provided under the Home and Community-Based Waiver program. 

• Providers must comply with specific requirements for participant supervision, medication management, and activity programming. 

• As of March 2025, ADHC continues to be an important component of Kentucky's long-term care services for adults needing daytime supervision and health care.