1. Define the Program or Service 

Adult Day Services in Nebraska provide a structured program of social, manual, physical, and intellectual activities for adults who do not require 24-hour institutional care but need support due to physical or mental impairments or social isolation. Services are delivered in supervised settings, either in centers or homes, for a minimum of three hours per day 

2. Regulations Governing the Program 

The program is governed by: 

• Nebraska Revised Statutes §§71-401 to 71-462, which cover the Health Care Facility Licensure Act. 

• Title 175 NAC Chapter 5, which outlines licensing requirements and operational standards for adult day services. 

• Title 473 NAC Chapter 4, which specifies definitions and standards for adult day services 

3. Licensing or Certification Requirements 

To operate an adult day service, a license is required. Facilities must comply with all applicable state regulations and standards. Accreditation by a recognized independent body may be accepted in lieu of licensure for certain healthcare facilities providing adult day services exclusively to their residents 

4. Responsible State Agency 

The Nebraska Department of Health and Human Services (DHHS) is responsible for issuing licenses and overseeing compliance for adult day services. 

5. Application Process 

The application process involves submitting a completed application to DHHS. The application must be printed, signed, and mailed to the DHHS Licensure Unit 

6. Required Documentation 

Applicants must provide: 

• A completed application form. 

• Identifying information about the facility. 

• Ownership details. 

• Proof of compliance with physical plant standards. 

• Proof of staff qualifications and training plans. 

• Payment of licensing fees as stipulated in Title 175 NAC Chapter 5 

7. Timeline for Approval 

Once a complete application is received, DHHS will review it and schedule an onsite inspection. The initial onsite inspection is typically conducted within 30 working days unless a later date is requested by the applicant 

8. Pre-Application Process 

There is no formal pre-license application process; however, applicants should ensure they meet all operational standards and have necessary documentation ready before submitting their application. 

9. Pre-Application Training 

While specific pre-application training is not mandated, providers must comply with all applicable regulations and standards. Training may include understanding operational standards, quality assurance, and performance improvement programs. 

10. Additional Notes 

• Adult day services are directed toward adults aged 19 or older who are current Supplemental Security Income or State Supplemental recipients, or low-income aged or disabled persons 

• Services must be provided in a supervised setting and include intellectual, manual, physical, and social activities