Long Term Services and Supports - Home and Community Based Services

Adult Day Health Care Services (ADHC)

Adult Day Health Care facilities provide medical services on a regularly scheduled basis as specified in the Service Plan. Services include health and social services needed to ensure the optimal functioning of the participant. Services are generally furnished in four or more hours per day on a regularly scheduled basis. The schedule may be modified as specified in the service plan.  Services must take place in a community-based setting and not an institutional setting. Services provided by the appropriate professional staff include the following:

  • Nursing services to include assessment, care planning, treatment and medication administration, evaluation and supervision of direct care staff;
  • Restorative therapy and care;
  • Nutritional assessment and planning;
  • Care coordination to assist the recipient and family to access services needed by the recipient to maintain or improve their level of functioning or to minimize a decline in the level of functioning due to the progression of a disease or other condition that may not be remedied;
  • Recipient training in Activities of Daily Living (ADLs);
  • Medical supervision and assistance to assure the recipient’s well-being and that care is appropriate to meet the recipient’s needs;
  • Social and recreational activities to enhance the recipient’s functioning and/or to maintain or improve the recipient’s quality of life; and
  • Meals provided as a part of these services shall not constitute a “full regimen” which is three meals per day.


To enroll as an Adult Day Health Care Services provider: